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[Pyridostigmine in the treatment of postural orthostatic tachycardia syndrome].

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.
AuthorsIlknur Can, Venkatakrishna Tholakanahalli
JournalTurk Kardiyoloji Dernegi arsivi : Turk Kardiyoloji Derneginin yayin organidir (Turk Kardiyol Dern Ars) Vol. 42 Issue 6 Pg. 553-5 (Sep 2014) ISSN: 1016-5169 [Print] Turkey
Vernacular TitlePostüral ortostatik taşikardi sendromunda piridostigmin tedavisi.
PMID25362946 (Publication Type: Case Reports, English Abstract, Journal Article)
Chemical References
  • Cholinesterase Inhibitors
  • Pyridostigmine Bromide
Topics
  • Adult
  • Blood Pressure
  • Cholinesterase Inhibitors (administration & dosage)
  • Diagnosis, Differential
  • Dizziness
  • Fatigue
  • Female
  • Humans
  • Orthostatic Intolerance
  • Postural Orthostatic Tachycardia Syndrome (diagnosis, drug therapy, physiopathology)
  • Pyridostigmine Bromide (administration & dosage)

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