Taquicardia ortostática postural em adolescentes: como e por que diagnosticar
Postural Orthostatic Tachycardia Syndrome (POTS) is a rare heterogeneous syndrome secondary to a disorder of the autonomic nervous system, characterized by sustained symptomatic sinus tachycardia in the upright position without arterial hypotension. Chronic symptoms are nonspecific and involve multi...
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| Format: | Article |
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Sociedade Brasileira de Pediatria
2024-12-01
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| Series: | Residência Pediátrica |
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| Online Access: | https://cdn.publisher.gn1.link/residenciapediatrica.com.br/pdf/v14n4a1161.pdf |
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| author | Camila Magalhães Silva Ludimila Dos Anjos Teixeira Romão Lalleinny Franthiesca da Costa Alves Roberta Leão Bassi Rose Mary Ferreira Lisboa da Silva Fátima Derlene da Rocha Araújo Zilda Maria Alves Meira |
| author_facet | Camila Magalhães Silva Ludimila Dos Anjos Teixeira Romão Lalleinny Franthiesca da Costa Alves Roberta Leão Bassi Rose Mary Ferreira Lisboa da Silva Fátima Derlene da Rocha Araújo Zilda Maria Alves Meira |
| author_sort | Camila Magalhães Silva |
| collection | DOAJ |
| description | Postural Orthostatic Tachycardia Syndrome (POTS) is a rare heterogeneous syndrome secondary to a disorder of the autonomic nervous system, characterized by sustained symptomatic sinus tachycardia in the upright position without arterial hypotension. Chronic symptoms are nonspecific and involve multiple organ systems, often leading to debilitating effects on the individuals quality of life. Although relatively unfamiliar to cardiologists, it is an essential entity in the differential diagnosis of pre-syncope. We present a case report of an adolescent referred to pediatric cardiology to investigate intermittent and recurrent episodes of sweating, chest pain, muscle weakness without loss of consciousness, palpitations, pallor, and tachycardia. During the medical history, she also reported other symptoms impacting her daily activities and school performance. Following a comprehensive physical examination (including heart rate and blood pressure assessment) and additional tests (electrocardiogram, transthoracic echocardiogram, and Tilt Test), she was diagnosed with POTS. Subsequently, a treatment plan, both pharmacological and non-pharmacological, was initiated, resulting in an improvement in her quality of life and symptom control. Recognition of this recently described medical condition depends on clinical suspicion during the medical history and physical examination, allowing for the implementation of treatment with the aim of enhancing the patients quality of life. |
| format | Article |
| id | doaj-art-f625d30400854f3ab2594b8569a495ae |
| institution | Kabale University |
| issn | 2236-6814 |
| language | English |
| publishDate | 2024-12-01 |
| publisher | Sociedade Brasileira de Pediatria |
| record_format | Article |
| series | Residência Pediátrica |
| spelling | doaj-art-f625d30400854f3ab2594b8569a495ae2025-01-06T19:34:32ZengSociedade Brasileira de PediatriaResidência Pediátrica2236-68142024-12-0114410.25060/residpediatr-2024.v14n4-1161Taquicardia ortostática postural em adolescentes: como e por que diagnosticarCamila Magalhães Silva0Ludimila Dos Anjos Teixeira Romão1Lalleinny Franthiesca da Costa Alves2Roberta Leão Bassi3Rose Mary Ferreira Lisboa da Silva4Fátima Derlene da Rocha Araújo5Zilda Maria Alves Meira6Hospital das Clínicas da Universidade Federal de Minas Gerais, Cardiologia Pediátrica - Belo Horizonte - Minas Gerais - BrasilHospital das Clínicas da Universidade Federal de Minas Gerais, Cardiologia Pediátrica - Belo Horizonte - Minas Gerais - BrasilHospital das Clínicas da Universidade Federal de Minas Gerais, Cardiologia Pediátrica - Belo Horizonte - Minas Gerais - BrasilHospital das Clínicas da Universidade Federal de Minas Gerais, Cardiologia Pediátrica - Belo Horizonte - Minas Gerais - BrasilUniversidade Federal de Minas Gerais, Cardiologia - Belo Horizonte - Minas Gerais - Brasil.Hospital das Clínicas da Universidade Federal de Minas Gerais, Cardiologia Pediátrica - Belo Horizonte - Minas Gerais - BrasilHospital das Clínicas da Universidade Federal de Minas Gerais, Cardiologia Pediátrica - Belo Horizonte - Minas Gerais - BrasilPostural Orthostatic Tachycardia Syndrome (POTS) is a rare heterogeneous syndrome secondary to a disorder of the autonomic nervous system, characterized by sustained symptomatic sinus tachycardia in the upright position without arterial hypotension. Chronic symptoms are nonspecific and involve multiple organ systems, often leading to debilitating effects on the individuals quality of life. Although relatively unfamiliar to cardiologists, it is an essential entity in the differential diagnosis of pre-syncope. We present a case report of an adolescent referred to pediatric cardiology to investigate intermittent and recurrent episodes of sweating, chest pain, muscle weakness without loss of consciousness, palpitations, pallor, and tachycardia. During the medical history, she also reported other symptoms impacting her daily activities and school performance. Following a comprehensive physical examination (including heart rate and blood pressure assessment) and additional tests (electrocardiogram, transthoracic echocardiogram, and Tilt Test), she was diagnosed with POTS. Subsequently, a treatment plan, both pharmacological and non-pharmacological, was initiated, resulting in an improvement in her quality of life and symptom control. Recognition of this recently described medical condition depends on clinical suspicion during the medical history and physical examination, allowing for the implementation of treatment with the aim of enhancing the patients quality of life.https://cdn.publisher.gn1.link/residenciapediatrica.com.br/pdf/v14n4a1161.pdfgastritisesomeprazoleeosinophilic esophagitiscase reportseosinophils |
| spellingShingle | Camila Magalhães Silva Ludimila Dos Anjos Teixeira Romão Lalleinny Franthiesca da Costa Alves Roberta Leão Bassi Rose Mary Ferreira Lisboa da Silva Fátima Derlene da Rocha Araújo Zilda Maria Alves Meira Taquicardia ortostática postural em adolescentes: como e por que diagnosticar Residência Pediátrica gastritis esomeprazole eosinophilic esophagitis case reports eosinophils |
| title | Taquicardia ortostática postural em adolescentes: como e por que diagnosticar |
| title_full | Taquicardia ortostática postural em adolescentes: como e por que diagnosticar |
| title_fullStr | Taquicardia ortostática postural em adolescentes: como e por que diagnosticar |
| title_full_unstemmed | Taquicardia ortostática postural em adolescentes: como e por que diagnosticar |
| title_short | Taquicardia ortostática postural em adolescentes: como e por que diagnosticar |
| title_sort | taquicardia ortostatica postural em adolescentes como e por que diagnosticar |
| topic | gastritis esomeprazole eosinophilic esophagitis case reports eosinophils |
| url | https://cdn.publisher.gn1.link/residenciapediatrica.com.br/pdf/v14n4a1161.pdf |
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