Postural Orthostatic Tachycardia Syndrome: Clinical Case and Literature Review
DOI:
https://doi.org/10.25759/spmfr.433Keywords:
Postural Orthostatic Tachycardia Syndrome/ diagnosis, Postural Orthostatic Tachycardia Syndrome/ rehabilitation, Postural Orthostatic Tachycardia Syndrome /therapyAbstract
Postural orthostatic tachycardia syndrome (POTS) is one of the major causes of orthostatic intolerance in young adults, highly incapacitating and with a major impact on quality of life. This article includes the presentation of a clinical case of a patient with POTS, and a literature review, intending to reiterate the importance of the clinical suspicion of this syndrome, as it is a common syndrome, although widely underdiagnosed.
Patients with POTS are unable to increase the venous return when they assume an orthostatic position and therefore develop tachycardia as a compensation mechanism. The orthostatic intolerance manifests as a wide range of symptoms, triggered by orthostatic position and minimal effort; and resolve with decubitus. The treatment of POTS can include a pharmacological and non-pharmacological approach, including an exercise program, individualized and properly structured, based on the pathophysiological concepts of the disease.
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