Postural Tachycardia Syndrome in Children and Adolescents
Postural tachycardia syndrome is a chronic condition with frequent symptoms of orthostatic intolerance or sympathetic activation and excessive tachycardia while standing, without significant hypotension. Orthostatic symptoms include dizziness, lightheadedness, blurring of vision, near faints, weakne...
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| Veröffentlicht in: | Seminars in pediatric neurology 2013-03, Vol.20 (1), p.18-26 |
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| creator | Jarjour, Imad T., MD |
| description | Postural tachycardia syndrome is a chronic condition with frequent symptoms of orthostatic intolerance or sympathetic activation and excessive tachycardia while standing, without significant hypotension. Orthostatic symptoms include dizziness, lightheadedness, blurring of vision, near faints, weakness in legs, poor concentration, nausea, and headaches. Somatic symptoms include fatigue, sleep disorder, widespread pain, abdominal pain, and menstrual irregularities. Psychological problems may overlap with physical complaints. This review discusses the normal physiology of orthostatic change, different pathophysiological mechanisms of postural tachycardia syndrome, including hypovolemia, venous pooling, autonomic neuropathy, and hyperadrenergic responses. In addition, an outline for management tailored to the patient's clinical syndrome is presented, along with concluding thoughts on future research needs. |
| doi_str_mv | 10.1016/j.spen.2013.01.001 |
| format | Article |
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| ispartof | Seminars in pediatric neurology, 2013-03, Vol.20 (1), p.18-26 |
| issn | 1071-9091 1558-0776 |
| language | eng |
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| source | MEDLINE; Elsevier ScienceDirect Journals Complete |
| subjects | Adolescent Child Humans Neurology Orthostatic Intolerance - complications Pediatrics Postural Orthostatic Tachycardia Syndrome - complications Postural Orthostatic Tachycardia Syndrome - psychology |
| title | Postural Tachycardia Syndrome in Children and Adolescents |
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