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Volume 23 |
January - March 2007 |
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Published by : PROFESSIONAL MEDICAL PUBLICATIONS |
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Volume 23 |
January - March 2007 |
Number 1 |
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Paroxysmal Orthostatic Tachycardia Syndrome (POTS)
with co-existing chronic fatigue syndrome:
A review of three cases and discussionBhaskar Balasundaram1, A. Blake2
ABSTRACT
Orthostatic intolerance appears in many guises including overt dysautonomia, vasovagal syncope and orthostatic tachycardia. We present details of three patients referred to our syncope clinic, who satisfied the chronic fatigue criteria of the centre for disease control and prevention.
Head-up tilt testing induced significant hypotension and increased heart rate in all three patients, consistent with the clinical and autonomic manifestations of postural orthostatic tachycardia syndrome. We report on the emerging evidence available which does suggest a direct relationship between these two syndromes.
KEY WORDS: POTS, CFS, Vasovagal syncope.
Pak J Med Sci January - March 2007 Vol. 23 No.1 124-127
1. Dr. Bhaskar Balasundaram
Senior House Officer,
2. Dr. A. Blake
Consultant Physician1-2: Department of Medicine for Older People,
Dorset County Hospital,
Dorchester, Dorset, U.K.Correspondences:
Dr. Bhaskar Balasundaram
64 Welton Rise, St Leonards On Sea,
East Susssex, TN37 7RF, U.K.
E-Mail: bhassush@yahoo.com* Received for Publication: April 8, 2006
* Accepted: June 28, 2006
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