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Postural Tachycardia Syndrome in a 28-year-old Japanese Woman
- Source :
- Internal Medicine. 40:1032-1036
- Publication Year :
- 2001
- Publisher :
- Japanese Society of Internal Medicine, 2001.
-
Abstract
- Postural tachycardia syndrome is defined as the development of orthostatic symptoms without orthostatic hypotension. We report a 28-year-old female patient with postural tachycardia syndrome who exhibited palpitation, lowgrade fever and weight loss. Evaluation of autonomic nervous system functions showed that cardiovagal function was normal. Sweat response to acetylcholine was decreased. Excessive blood pressure elevation was seen in phase IV of the Valsalva maneuver. Pathophysiologic factors in this case were considered to be α adrenergic denervation and β adrenergic hyperresponsiveness. It is important that this syndrome be widely recognized and properly diagnosed.(Internal Medicine 40: 1032-1036, 2001)
- Subjects :
- Adult
Tachycardia
medicine.medical_specialty
Valsalva Maneuver
medicine.medical_treatment
Posture
Orthostatic intolerance
Blood Pressure
Autonomic Nervous System
Norepinephrine (medication)
Norepinephrine
Orthostatic vital signs
Heart Rate
Tilt-Table Test
Internal medicine
Internal Medicine
Valsalva maneuver
medicine
Humans
Denervation
business.industry
General Medicine
medicine.disease
Pathophysiology
Surgery
Autonomic nervous system
Cardiology
Female
medicine.symptom
business
Adrenergic alpha-Agonists
medicine.drug
Subjects
Details
- ISSN :
- 13497235 and 09182918
- Volume :
- 40
- Database :
- OpenAIRE
- Journal :
- Internal Medicine
- Accession number :
- edsair.doi.dedup.....8b2d6fc7da0cb9202c0a12ef044cd15e