Steinberg Rebecca S, Dicken Weston, Cutchins Alexis
Department of Medicine, Emory University School of Medicine Atlanta, GA.
Division of Cardiology, Department of Medicine, Emory University School of Medicine Atlanta, GA.
US Cardiol. 2023 Sep 19;17:e13. doi: 10.15420/usc.2022.35. eCollection 2023.
Postural orthostatic tachycardia syndrome (POTS) is a heterogeneous disorder that presents with positional tachycardia and a constellation of other symptoms. Peer-reviewed evidence for treatment options is limited. In addition, there are various associated conditions with overlapping symptoms. These factors can make the diagnosis and management of POTS a frustrating experience for both providers and patients. This paper aims to combine available scientific data with anecdotal evidence derived from extensive clinical experience to provide information on recognizing the clinical features of POTS, identifying associated conditions, and understanding treatment strategies to help providers better diagnose and manage patients with this condition.
体位性直立性心动过速综合征(POTS)是一种异质性疾病,表现为体位性心动过速及一系列其他症状。关于治疗方案的同行评审证据有限。此外,还存在各种伴有重叠症状的相关病症。这些因素会使POTS的诊断和管理对医护人员和患者而言都是令人沮丧的经历。本文旨在将现有的科学数据与来自广泛临床经验的轶事证据相结合,以提供有关识别POTS临床特征、确定相关病症以及理解治疗策略的信息,帮助医护人员更好地诊断和管理患有此病的患者。