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2013, Number 5

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Med Int Mex 2013; 29 (5)

Dysautonomia in the Real World

García-Frade RLF, Solís AE, González-Hermosillo A, Rodríguez F, Kostine A
Full text How to cite this article

Language: Spanish
References: 10
Page: 469-472
PDF size: 150.71 Kb.


Key words:

tilt test, vasovagal reactions, orthostatic intolerance, POTS.

ABSTRACT

Background: The manifestations of such varied for now called "dysautonomia" have received countless comments, adjectives, denominations and approaches throughout history. For some years, references to such varied clinical pictures are no longer merely contemplative and a number of insights have emerged through the use of tilt testing among other studies.
Objective: To establish the most frequent type of response during tilt testing in our environment.
Material and method: We performed a retrospective study of cardiovascular physiology Service Hospital Angeles del Pedregal where all tilt tests were analyzed from April 2005 to August 2012.
Results: Of the 1647 tests analyzed, 43.42% were interpreted as vasovagal reaction, the 38.04% rate as orthostatic intolerance and 4.3% as POTS.
Conclusion: It is important to consider that the reaction vasovagal and orthostatic intolerance with or without syncope, are the main types of autonomic failure in our environment, both for the recognition of symptoms in our patients and the specific treatment.


REFERENCES

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  4. Grubb B. Neurocardiogenic syncope. N Engl J Med 2005;352:1004-1010.

  5. Stewart J. Chronic orthostatic intolerance and the postural tachycardia syndrome (POTS). J Pediatr 2004;145:725-730.

  6. Weimer L, Williams O. Syncope and orthostatic intolerance. Med Clin North Am 2003;87:835-865.

  7. Stewart J. Orthostatic intolerance in pediatrics. J Pediatr 2002;140:404-411.

  8. Weimer L, Zadeh P. Neurological aspects of syncope and orthostatic intolerance. Med Clin N Am 2009;93:427-449.

  9. Thanavaro J, Thanavaro K. Postural orthostatic tachycardia syndrome: Diagnosis and treatment. Heart & Lung 2009;40:554-560.

  10. Ojha A, McNeeley K, Heller E, et al. Orthostatic syndromes differ in syncope frequency. Am J Med 2010;123:245-249.




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Med Int Mex. 2013;29