Pyridostigmine in the treatment of postural orthostatic tachycardia syndrome

descriptionPublicationkeyboard_double_arrow_right Article 01 Jan 2014Publisher:Turkish Society of CardiologyJournal:Turk Kardiyoloji Dernegi Arsivi-Archives of the Turkish Society of Cardiology, volume 42, pages 553-555 (issn: 1016-5169,

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Authors: İlknur Can; Venkatakrishna Tholakanahalli;

doi: 10.5543/tkda.2014.23873

pmid: 25362946

Pyridostigmine in the treatment of postural orthostatic tachycardia syndrome

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Abstract

A 34-year-old female patient was admitted with the complaints of inability to stand upright, palpitations, dizziness, and fatigue in the upright posture for the last one year. She was found to stand upright for less than one minute without symptoms. Tilt table testing showed that, compared to baseline her heart rate increased 55 beats/min in the fifth minute of the test with the symptoms of palpitations, fatigue and sweating without any significant change in her blood pressure. Postural orthostatic tachycardia syndrome was diagnosed, and pyridostigmine treatment was started. Four months after treatment her symptoms were relieved so that she was able to function as a nurse.

Related Organizations

Necmettin Erbakan University
Turkey
University of Minnesota
United States
University of Minnesota Morris
United States

Keywords

Adult, hypotension, orthostatic/physiopathology/therapy, R, Blood Pressure, RC31-1245, Dizziness, Diagnosis, Differential, Postural Orthostatic Tachycardia Syndrome, RC666-701, Orthostatic Intolerance, Medicine, Diseases of the circulatory (Cardiovascular) system, Humans, Female, Cholinesterase Inhibitors, Internal medicine, Fatigue, pyridostigmine bromide; syndrome; tachycardia/therapy., Pyridostigmine Bromide

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