Postural orthostatic tachycardia syndrome in patients of orthostatic intolerance symptoms: an ambispective study
Background A Postural orthostatic tachycardia syndrome (POTS) is infrequently diagnosed in routine practice because of the variable range of symptoms that could be seen in cardiac rhythm disorders, vertigo, chronic fatigue syndrome and anxiety panic disorder. POTS is a chronic debilitating condition...
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AIMS Press
2021-01-01
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| Series: | AIMS Neuroscience |
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| Online Access: | http://www.aimspress.com/article/doi/10.3934/Neuroscience.2021004?viewType=HTML |
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| author | Dinesh Chouksey Pankaj Rathi Ajoy Sodani Rahul Jain Hashash Singh Ishar |
| author_facet | Dinesh Chouksey Pankaj Rathi Ajoy Sodani Rahul Jain Hashash Singh Ishar |
| author_sort | Dinesh Chouksey |
| collection | DOAJ |
| description | Background A Postural orthostatic tachycardia syndrome (POTS) is infrequently diagnosed in routine practice because of the variable range of symptoms that could be seen in cardiac rhythm disorders, vertigo, chronic fatigue syndrome and anxiety panic disorder. POTS is a chronic debilitating condition that affects day to day efficient working of an individual. We have planned a study to look for POTS in patients who are having orthostatic intolerance symptoms and underwent a head-up tilt table test (HUTT). Aim To study the prevalence of POTS in patients of orthostatic intolerance (OI) symptoms and to analyze symptomatology, its association with neurocardiogenic syncope (NCS), and its outcome. Methods We reviewed the medical records of 246 patients presented with symptoms of OI seen at our centre from January 2010 till March 2019. Out of them, 40 patients included, those qualifying the criteria for POTS on HUTT. Results The mean age of the cohort was 25.90 ± 10.33 years with a range of 15 to 55 years, and males comprised 52.5% (21/40) of total patients. The most frequent presenting orthostatic symptoms of POTS patients are loss of consciousness (77.5%), lightheadedness (75%), and palpitation (67.5%). A total of 18 patients (45%) had coexisting neurocardiogenic syncope. Conclusion POTS is a prevalent condition and have a significant impact on the quality of life, and the majority of patients may not present with OI symptoms during HUTT. We have to keep this possibility in young patients of transient loss of consciousness because it may coexist with NCS. |
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| format | Article |
| id | doaj.art-4a3d00e07eca4d3c818cf5be93ee3a16 |
| institution | Directory Open Access Journal |
| issn | 2373-7972 |
| language | English |
| last_indexed | 2024-12-18T00:03:04Z |
| publishDate | 2021-01-01 |
| publisher | AIMS Press |
| record_format | Article |
| series | AIMS Neuroscience |
| spelling | doaj.art-4a3d00e07eca4d3c818cf5be93ee3a162022-12-21T21:27:54ZengAIMS PressAIMS Neuroscience2373-79722021-01-0181748510.3934/Neuroscience.2021004Postural orthostatic tachycardia syndrome in patients of orthostatic intolerance symptoms: an ambispective studyDinesh Chouksey0Pankaj Rathi1Ajoy Sodani 2Rahul Jain3Hashash Singh Ishar4Department of Neurology, Sri Aurobindo Medical College and Post Graduate Institute, Indore, M.P. IndiaDepartment of Neurology, Sri Aurobindo Medical College and Post Graduate Institute, Indore, M.P. IndiaDepartment of Neurology, Sri Aurobindo Medical College and Post Graduate Institute, Indore, M.P. IndiaDepartment of Neurology, Sri Aurobindo Medical College and Post Graduate Institute, Indore, M.P. IndiaDepartment of Neurology, Sri Aurobindo Medical College and Post Graduate Institute, Indore, M.P. IndiaBackground A Postural orthostatic tachycardia syndrome (POTS) is infrequently diagnosed in routine practice because of the variable range of symptoms that could be seen in cardiac rhythm disorders, vertigo, chronic fatigue syndrome and anxiety panic disorder. POTS is a chronic debilitating condition that affects day to day efficient working of an individual. We have planned a study to look for POTS in patients who are having orthostatic intolerance symptoms and underwent a head-up tilt table test (HUTT). Aim To study the prevalence of POTS in patients of orthostatic intolerance (OI) symptoms and to analyze symptomatology, its association with neurocardiogenic syncope (NCS), and its outcome. Methods We reviewed the medical records of 246 patients presented with symptoms of OI seen at our centre from January 2010 till March 2019. Out of them, 40 patients included, those qualifying the criteria for POTS on HUTT. Results The mean age of the cohort was 25.90 ± 10.33 years with a range of 15 to 55 years, and males comprised 52.5% (21/40) of total patients. The most frequent presenting orthostatic symptoms of POTS patients are loss of consciousness (77.5%), lightheadedness (75%), and palpitation (67.5%). A total of 18 patients (45%) had coexisting neurocardiogenic syncope. Conclusion POTS is a prevalent condition and have a significant impact on the quality of life, and the majority of patients may not present with OI symptoms during HUTT. We have to keep this possibility in young patients of transient loss of consciousness because it may coexist with NCS.http://www.aimspress.com/article/doi/10.3934/Neuroscience.2021004?viewType=HTMLpostural orthostatic tachycardia syndromepotshead-up tilt table testhuttpots with syncopeneurocardiogenic syncope |
| spellingShingle | Dinesh Chouksey Pankaj Rathi Ajoy Sodani Rahul Jain Hashash Singh Ishar Postural orthostatic tachycardia syndrome in patients of orthostatic intolerance symptoms: an ambispective study AIMS Neuroscience postural orthostatic tachycardia syndrome pots head-up tilt table test hutt pots with syncope neurocardiogenic syncope |
| title | Postural orthostatic tachycardia syndrome in patients of orthostatic intolerance symptoms: an ambispective study |
| title_full | Postural orthostatic tachycardia syndrome in patients of orthostatic intolerance symptoms: an ambispective study |
| title_fullStr | Postural orthostatic tachycardia syndrome in patients of orthostatic intolerance symptoms: an ambispective study |
| title_full_unstemmed | Postural orthostatic tachycardia syndrome in patients of orthostatic intolerance symptoms: an ambispective study |
| title_short | Postural orthostatic tachycardia syndrome in patients of orthostatic intolerance symptoms: an ambispective study |
| title_sort | postural orthostatic tachycardia syndrome in patients of orthostatic intolerance symptoms an ambispective study |
| topic | postural orthostatic tachycardia syndrome pots head-up tilt table test hutt pots with syncope neurocardiogenic syncope |
| url | http://www.aimspress.com/article/doi/10.3934/Neuroscience.2021004?viewType=HTML |
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