Our experience in the diagnosis and treatment of postural orthostatic tachycardia syndrome, vasovagal syncope, and inappropriate sinus tachycardia in children
Objectives: The aim of this study was to share our experience in the diagnosis and treatment of patients who presented at our clinic with syncope, pre-syncope, dizziness, and palpitations. Study design: Patients who were treated at pediatric cardiology clinic for complaints of syncope, dizziness, an...
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| Format: | Article |
| Language: | English |
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KARE Publishing
2017-04-01
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| Series: | Türk Kardiyoloji Derneği Arşivi |
| Subjects: | |
| Online Access: | https://jag.journalagent.com/z4/download_fulltext.asp?pdir=tkd&un=TKDA-36517 |
| _version_ | 1797906983750205440 |
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| author | Sezen Ugan Atik Reyhan Dedeoglu Aida Koka Funda Oztunc |
| author_facet | Sezen Ugan Atik Reyhan Dedeoglu Aida Koka Funda Oztunc |
| author_sort | Sezen Ugan Atik |
| collection | DOAJ |
| description | Objectives: The aim of this study was to share our experience in the diagnosis and treatment of patients who presented at our clinic with syncope, pre-syncope, dizziness, and palpitations.
Study design: Patients who were treated at pediatric cardiology clinic for complaints of syncope, dizziness, and palpitations between 2014 and 2016 were enrolled in the study. Detailed history of the patients, physical examination findings, laboratory and electrocardiogram results were recorded. Tilt table test, 24-hour Holter rhythm monitoring, and exercise test were performed, as required. Patients were diagnosed as vasovagal syncope, postural orthostatic tachycardia syndrome (POTS), or inappropriate sinus tachycardia based on these findings. Treatment of the patients was evaluated.
Results: Thirty patients were diagnosed as vasovagal syncope, 7 patients as POTS, and 2 as inappropriate sinus tachycardia. POTS accompanied Raynaud's phenomenon in 1 patient, hypertrophic cardiomyopathy in 1 patient, and homocystinuria in another patient. Complaints of patients with vasovagal syncope improved with non-medical therapy. Medical treatment was administered to the patients with diagnosis of POTS and inappropriate sinus tachycardia.

Conclusion: In patients with complaints of syncope, pre-syncope, dizziness, and palpitations without structural heart disease or non-rhythm problems, cardiovascular autonomic disorders, such as POTS and inappropriate sinus tachycardia should be kept in mind, as well as vasovagal syncope. |
| first_indexed | 2024-04-10T10:29:17Z |
| format | Article |
| id | doaj.art-da37a062aa2a4dd4bcc320cd568ea819 |
| institution | Directory Open Access Journal |
| issn | 1016-5169 |
| language | English |
| last_indexed | 2024-04-10T10:29:17Z |
| publishDate | 2017-04-01 |
| publisher | KARE Publishing |
| record_format | Article |
| series | Türk Kardiyoloji Derneği Arşivi |
| spelling | doaj.art-da37a062aa2a4dd4bcc320cd568ea8192023-02-15T16:21:13ZengKARE PublishingTürk Kardiyoloji Derneği Arşivi1016-51692017-04-0145322723410.5543/tkda.2017.36517TKDA-36517Our experience in the diagnosis and treatment of postural orthostatic tachycardia syndrome, vasovagal syncope, and inappropriate sinus tachycardia in childrenSezen Ugan Atik0Reyhan Dedeoglu1Aida Koka2Funda Oztunc3Istanbul University Cerrahpasa Medical Faculty Pediatric Cardiology DepartmentIstanbul University Cerrahpasa Medical Faculty Pediatric Cardiology DepartmentIstanbul University Cerrahpasa Medical Faculty Pediatric Cardiology DepartmentIstanbul University Cerrahpasa Medical Faculty Pediatric Cardiology DepartmentObjectives: The aim of this study was to share our experience in the diagnosis and treatment of patients who presented at our clinic with syncope, pre-syncope, dizziness, and palpitations. Study design: Patients who were treated at pediatric cardiology clinic for complaints of syncope, dizziness, and palpitations between 2014 and 2016 were enrolled in the study. Detailed history of the patients, physical examination findings, laboratory and electrocardiogram results were recorded. Tilt table test, 24-hour Holter rhythm monitoring, and exercise test were performed, as required. Patients were diagnosed as vasovagal syncope, postural orthostatic tachycardia syndrome (POTS), or inappropriate sinus tachycardia based on these findings. Treatment of the patients was evaluated. Results: Thirty patients were diagnosed as vasovagal syncope, 7 patients as POTS, and 2 as inappropriate sinus tachycardia. POTS accompanied Raynaud's phenomenon in 1 patient, hypertrophic cardiomyopathy in 1 patient, and homocystinuria in another patient. Complaints of patients with vasovagal syncope improved with non-medical therapy. Medical treatment was administered to the patients with diagnosis of POTS and inappropriate sinus tachycardia.
 Conclusion: In patients with complaints of syncope, pre-syncope, dizziness, and palpitations without structural heart disease or non-rhythm problems, cardiovascular autonomic disorders, such as POTS and inappropriate sinus tachycardia should be kept in mind, as well as vasovagal syncope.https://jag.journalagent.com/z4/download_fulltext.asp?pdir=tkd&un=TKDA-36517childrenpostural orthostatic tachycardia syndromeinappropriate sinus tachycardiavasovagal syncope. |
| spellingShingle | Sezen Ugan Atik Reyhan Dedeoglu Aida Koka Funda Oztunc Our experience in the diagnosis and treatment of postural orthostatic tachycardia syndrome, vasovagal syncope, and inappropriate sinus tachycardia in children Türk Kardiyoloji Derneği Arşivi children postural orthostatic tachycardia syndrome inappropriate sinus tachycardia vasovagal syncope. |
| title | Our experience in the diagnosis and treatment of postural orthostatic tachycardia syndrome, vasovagal syncope, and inappropriate sinus tachycardia in children |
| title_full | Our experience in the diagnosis and treatment of postural orthostatic tachycardia syndrome, vasovagal syncope, and inappropriate sinus tachycardia in children |
| title_fullStr | Our experience in the diagnosis and treatment of postural orthostatic tachycardia syndrome, vasovagal syncope, and inappropriate sinus tachycardia in children |
| title_full_unstemmed | Our experience in the diagnosis and treatment of postural orthostatic tachycardia syndrome, vasovagal syncope, and inappropriate sinus tachycardia in children |
| title_short | Our experience in the diagnosis and treatment of postural orthostatic tachycardia syndrome, vasovagal syncope, and inappropriate sinus tachycardia in children |
| title_sort | our experience in the diagnosis and treatment of postural orthostatic tachycardia syndrome vasovagal syncope and inappropriate sinus tachycardia in children |
| topic | children postural orthostatic tachycardia syndrome inappropriate sinus tachycardia vasovagal syncope. |
| url | https://jag.journalagent.com/z4/download_fulltext.asp?pdir=tkd&un=TKDA-36517 |
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