Acta clinica Croatica, Vol. 51 No. 1, 2012.
Other
Orthostatic Intolerance: Postural Orthostatic Tachycardia Syndrome with Overlapping Vasovagal Syncope
Vedrana Škerk
Hrvoje Pintarić
Diana Delić-Brkljačić
Zvonimir Popović
Hrvoje Hećimović
Abstract
A 28-year-old female with a history of situational syncope and a new-onset right sided hemiparesis is described. Tilt-up table test revealed the postural orthostatic tachycardia syndrome followed by vasovagal syncope. Neurological and internal medicine tests showed no particular disorders. The patient underwent autonomic physical training and the tilt-up test performed three months later showed improvement of the autonomic system in terms of lower heart beat rate of the postural orthostatic tachycardia syndrome and longer duration of the test. This case report describes longstanding idiopathic dysautonomia that can be improved by nonpharmacological treatment, while reminding that this medical condition may also be the cause of syncope.
Keywords
Postural orthostatic tachycardia syndrome; Syncope; Dysautonomia
Hrčak ID:
85743
URI
Publication date:
30.3.2012.
Visits: 4.649 *