Pelling Mary M, Brown Matthew T, Gilliland Charles A, Cutchins Alexis
Internal Medicine, Emory University School of Medicine, Atlanta, USA.
Cardiology, Emory University School of Medicine, Atlanta, USA.
Cureus. 2024 Feb 10;16(2):e53974. doi: 10.7759/cureus.53974. eCollection 2024 Feb.
Postural orthostatic tachycardia syndrome (POTS) is mainly characterized by orthostatic intolerance and positional tachycardia although it frequently involves a myriad of non-specific symptoms that seem to overlap with existing medical conditions. Recent efforts have been made to further classify subtypes of POTS and associated conditions to better delineate underlying pathophysiology in an effort to guide diagnosis and tailor treatment. Here, we present a 22-year-old female with debilitating symptoms of POTS who reported pelvic pain on review of systems and underwent vascular ultrasound of the inferior vena cava, iliac veins, and bilateral lower extremities which revealed the characteristic left common iliac vein compression of May-Thurner syndrome prompting venous stenting which provided systemic symptomatic relief.
体位性直立性心动过速综合征（POTS）主要表现为直立不耐受和体位性心动过速，尽管它常常伴有许多非特异性症状，这些症状似乎与现有的医学病症相重叠。最近人们努力进一步对POTS的亚型和相关病症进行分类，以更好地描绘潜在的病理生理学，从而指导诊断并制定个性化治疗方案。在此，我们报告一名22岁患有严重POTS症状的女性，她在系统回顾时诉说盆腔疼痛，并接受了下腔静脉、髂静脉和双侧下肢的血管超声检查，结果显示具有May-Thurner综合征特征性的左髂总静脉受压，随后进行了静脉支架置入术，症状得到了全身性缓解。
