Gall Nicholas P, James Stephen, Kavi Lesley
Consultant Cardiologist, King's College Hospital Department of Cardiology, London Bridge Hospital, London, SE1 2PR.
Consultant in Intensive Care and Exercise Capacity, King's College Hospital Department of Cardiology, London Bridge Hospital, London, SE1 2PR.
Br J Cardiol. 2022 Jan 26;29(1):3. doi: 10.5837/bjc.2022.003. eCollection 2022.
There is emerging evidence that a proportion of patients who develop long (post)-COVID-19 have abnormalities in the regulation of their autonomic nervous system manifesting as postural tachycardia syndrome (PoTS). We report a series of 14 patients who developed symptoms and signs compatible with PoTS following clinically diagnosed COVID-19 infection. Their symptoms and clinical findings were consistent with those of patients with non-COVID-related PoTS. The authors recommend an active stand test for patients who present after COVID-19 infection with cardiovascular symptoms including chest pain, palpitations, lightheadedness and breathlessness that are worse with the upright posture. They further recommend training of clinicians and investment in health services to provide for the anticipated significant increase in patients presenting with PoTS and other forms of autonomic dysfunction due to the COVID-19 pandemic.
越来越多的证据表明，一部分出现新冠后长期症状的患者存在自主神经系统调节异常，表现为体位性心动过速综合征（PoTS）。我们报告了14例临床诊断为新冠感染后出现与PoTS相符的症状和体征的患者。他们的症状和临床发现与非新冠相关PoTS患者一致。作者建议，对于新冠感染后出现心血管症状（包括胸痛、心悸、头晕和呼吸困难，且直立姿势时症状加重）的患者进行主动站立试验。他们还建议培训临床医生并投资于卫生服务，以应对因新冠疫情导致的PoTS和其他形式自主神经功能障碍患者预计大幅增加的情况。
