Sympathovagal balance analysis in idiopathic postural orthostatictachycardia syndrome

Sympathovagal balance analysis in idiopathic postural orthostatictachycardia syndrome

Authors

  • V. Russo
  • I. De Crescenzo
  • E. Ammendola, et al.

Keywords:

Postural orthostatic tachycardia sindrome (POTS), sympathovagal balance, heart rate variability (HRV), Head up tilt test

Abstract

The idiopathic postural tachycardia syndrome (POTS) is a complex disorder characterized by chronic orthostatic symptoms and an increase in heart rate within 10 minutes of standing on upright posture, without significant orthostatic hypotension.We describe a case of a 36 year-old patient with POTS, diagnosed by head-up tilt testing. Power spectral analysis of heart rate variability (HRV), performed during the tilt test, revealed the ratio of low and high frequency powers (LF/HF) that increased with the onset of orthostatic intolerance. The increase in LF/HF power ratio may represent sympathetic beta-receptors hyperactivity. Atenolol alleviated his clinical symptoms.

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Published

01-08-2007

Issue

Section

CASE REPORTS

How to Cite

1.
Russo V, De Crescenzo I, Ammendola, et al. E. Sympathovagal balance analysis in idiopathic postural orthostatictachycardia syndrome. Acta Biomed [Internet]. 2007 Aug. 1 [cited 2024 Jul. 27];78(2):133-8. Available from: https://mattioli1885journals.com/index.php/actabiomedica/article/view/1916