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Postural orthostatic tachycardia syndrome in primary care: diagnosis, treatment and a case of African-American man presenting with POTS.
- Source :
-
BMJ case reports [BMJ Case Rep] 2019 Sep 18; Vol. 12 (9). Date of Electronic Publication: 2019 Sep 18. - Publication Year :
- 2019
-
Abstract
- Postural orthostatic tachycardia syndrome (POTS) is a heterogeneous autonomic disorder characterised by orthostatic intolerance and a rise in heart rate by at least 30 bpm or an absolute heart rate value of at least 120 bpm within 10 min of standing or during a tilt table test. Overwhelmingly, POTS affects young Caucasian women, which can lead physicians to miss the diagnosis in men or non-white patients. We describe a case of 29-year-old African-American man who developed lightheadedness, generalised weakness, tachycardia and palpitations and was subsequently diagnosed with POTS. We review its clinical features, differential diagnosis, pathophysiology and treatment options. We also emphasise that POTS should be considered as a differential diagnosis in any patient presenting with typical clinical features, who may not be in the usual demographics of the disorder.<br />Competing Interests: Competing interests: None declared.<br /> (© BMJ Publishing Group Limited 2019. No commercial re-use. See rights and permissions. Published by BMJ.)
- Subjects :
- Adult
Black or African American ethnology
Diagnosis, Differential
Humans
Male
Postural Orthostatic Tachycardia Syndrome physiopathology
Primary Health Care
Sodium administration & dosage
Tilt-Table Test methods
Treatment Outcome
Dizziness etiology
Postural Orthostatic Tachycardia Syndrome diagnosis
Postural Orthostatic Tachycardia Syndrome therapy
Tachycardia etiology
Subjects
Details
- Language :
- English
- ISSN :
- 1757-790X
- Volume :
- 12
- Issue :
- 9
- Database :
- MEDLINE
- Journal :
- BMJ case reports
- Publication Type :
- Academic Journal
- Accession number :
- 31537586
- Full Text :
- https://doi.org/10.1136/bcr-2019-229824