主动脉缩窄手术矫正后发生体位性直立性心动过速综合征：一例报告
Postural orthostatic tachycardia syndrome after surgical correction of an aortic coarctation: a case report.
作者信息
Fernex Lucie, Coeytaux Alessandra, Rochat Thierry, Karaca Saziye, Perrig Stephen, Burri Haran, Nendaz Mathieu R
机构信息
Internal Medicine, Department of Internal Medicine, University Hospital of Geneva, Gabrielle-Perret-Gentil 4, Geneva, 11 1211, Switzerland.
出版信息
J Med Case Rep. 2012 Aug 13;6:241. doi: 10.1186/1752-1947-6-241.
INTRODUCTION
We report a case of postural tachycardia syndrome occurring after the surgical correction of an aortic coarctation, and coexisting with upper airway resistance syndrome.
CASE PRESENTATION
A 29-year-old Caucasian man complained of extreme fatigue, daytime sleepiness, shortness of breath on exertion, light-headedness and general weakness on standing. These symptoms began shortly after the surgical correction of an aortic coarctation and became progressively more debilitating, impairing any daily activity. An extensive work-up revealed postural tachycardia syndrome and a coexisting sleep-related breathing disorder, characterized as upper airway resistance syndrome.
CONCLUSION
This is the first reported case describing the occurrence of postural tachycardia syndrome after the surgical correction of an aortic coarctation. This case also provides evidence for the suggestion that this syndrome may coexist with upper airway resistance syndrome, although the exact nature of their relationship must still be better established.
引言
我们报告一例主动脉缩窄手术矫正后发生体位性心动过速综合征，并与上气道阻力综合征并存的病例。
病例介绍
一名29岁的白种男性主诉极度疲劳、日间嗜睡、劳力性气短、站立时头晕和全身乏力。这些症状在主动脉缩窄手术矫正后不久出现，并逐渐加重，影响日常活动。全面检查发现体位性心动过速综合征和一种并存的与睡眠相关的呼吸障碍，表现为上气道阻力综合征。
结论
这是首例报道的关于主动脉缩窄手术矫正后发生体位性心动过速综合征的病例。该病例也为这一综合征可能与上气道阻力综合征并存提供了证据，尽管它们之间关系的确切性质仍有待进一步明确。
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