Presentation
The present case-control study was designed to address these two issues. [ncbi.nlm.nih.gov]
Abstract Objective To describe the postural orthostatic tachycardia syndrome (POTS), including clinical presentation, pathophysiology, diagnostic methods, and current management models. [doi.org]
One or more associated symptoms were often present: faintness, syncope, headache, dizziness, insomnia, increased perspiration, difficulty in swallowing, tremor, flushing and pallor. [jamanetwork.com]
The symptom complex it presents is almost as definite as that of angina. [annals.org]
Prognosis and Impact of POTS At present, only limited data are available on the prognosis of patients with POTS. [web.archive.org]
Entire Body System
- Chronic Fatigue Syndrome
Fatigue Syndrome [1] 2008, Small Heart Syndrome in Patients with Chronic Fatigue Syndrome [2] Learn more [ edit | edit source ] See also [ edit | edit source ] Cardiac problems in ME/CFS Cardiovasular system References [ edit | edit source ] ↑ 1.0 1.1 [me-pedia.org]
Myalgic Encephalomyelitis/Chronic Fatigue Syndrome: Clinical Working Case Definition, Diagnostic and Treatment Protocols. Journal of Chronic Fatigue Syndrome. 11. pp. 7–115. doi:10.1300/J092v11n01_02. ISBN 978-0-7890-2207-3. [en.wikipedia.org]
CDC, US Centers for Disease Control and Prevention CFS, chronic fatigue syndrome ME, myalgic encephalomyelitis NMH, neurally mediated hypotension NRI, norepinephrine reuptake inhibitor POTS, postural orthostatic tachycardia syndrome SSRI, selective serotonin [doi.org]
In addition, from Wikipedia: "Related conditions Some researchers have described similarities between orthostatic intolerance, chronic fatigue syndrome, mitral valve prolapse syndrome, and the observations of Da Costa (Neurocirculatory asthenia)." [medhelp.org]
- Chest Discomfort
Respiratory complaints (including breathlessness, with and without effort, and smothering sensations) are almost universal, and palpitation, chest discomfort, dizziness and faintness, and fatigue are common. The physical examination is normal. [ncbi.nlm.nih.gov]
Respiratory complaints (including breathlessness, with and without effort, and smothering sensations) are almost universal, and palpitation, chest discomfort, dizziness and faintness, and fatigue are common (1). [gpnotebook.com]
- Disability
Please enable JS and disable any ad blocker [formularyjournal.modernmedicine.com]
It is a chronic disorder which may entail a significant disability; patients have a normal life span [11]. [onlinelibrary.wiley.com]
Life expectancy is thought to be unaffected, but disability is considerable and equivalent to that found in congestive heart failure and chronic obstructive pulmonary disease. 8 Table 1 Most common symptoms reported by patients with PoTS and percentage [doi.org]
In civil life it occurs in much older persons, though still most prevalent and disabling in the late teens and early twenties. [history.amedd.army.mil]
- Enuresis
Although DDAVP is safely used in children for enuresis, we have been concerned about the risk of hyponatremia in patients told to drink free water copiously. Midodrine is a peripheral α-1 agonist that serves as a vasoconstrictor. [web.archive.org]
A good many of these cases showed enuresis nocturni. [history.amedd.army.mil]
- Asymptomatic
We also determined the frequency of α3-AChR Ab in the sera of the following 3 control groups: (1) healthy persons age- and sex-matched to seropositive patients, (2) neurologically asymptomatic patients with lung cancer, and (3) neurologically asymptomatic [doi.org]
Cardiac arrhythmias may be benign or life-threatening, symptomatic or asymptomatic; they may be a warning sign of sudden death, or be the cause or effect of heart failure, be the expression of an acute or chronic heart disease, or the clinical manifestation [pesquisa.bvsalud.org]
[…] identified during head-up tilt table testing, Pacing Clin Electrophysiol, 1997, vol. 20 (pg. 2205 - 12 ) 41 Vascular responses to orthostatic stress in patients with postural tachycardia syndrome (POTS), in patients with low orthostatic tolerance, and in asymptomatic [europace.oxfordjournals.org]
Respiratoric
- Exertional Dyspnea
Systrom, Unexplained Exertional Dyspnea Caused by Low Ventricular Filling Pressures: Results from Clinical Invasive Cardiopulmonary Exercise Testing, Pulmonary Circulation, 6, 1, (55), (2016). John E. Fortunato, Catherine L. [doi.org]
Cardiovascular
- Tachycardia
Qingyou Zhang, Xia Chen, Jiawei Li and Junbao Du, Clinical features of hyperadrenergic postural tachycardia syndrome in children, Pediatrics International, 56, 6, (813-816), (2014). [doi.org]
Periods of sinus tachycardia and sinus arrhythmia were recorded from the patients during sleep. [ncbi.nlm.nih.gov]
- Heart Disease
Remarks on heart disease in the military service from 1861 to 1865. Tr. Am. M.A. 1867; 18 (): 139 Hartshorne H. On heart disease in the army. Am. J. M. Sc. 1864; 48: 89 Stilié, A. [ajconline.org]
From Wikidata Jump to navigation Jump to search somatoform disorder that involves heart disease symptoms without any identifiable physiological abnormatlities. [wikidata.org]
In summary it can be observed that screening for heart disease in draftees was not very efficient, both allowing men with serious heart valve lesions to be inducted and excluding men with heart murmurs but no heart disease. [kumc.edu]
[…] organic heart disease. [books.google.com]
- Chest Pain
It causes symptoms similar to heart disease - such as fatigue upon exertion, shortness of breath, palpitations, sweating and chest pain - but upon examination, nothing is found to be physically wrong with the patient." [medhelp.org]
Home North American English neurocirculatory asthenia neurocirculatory asthenia noun Medicine A psychosomatic syndrome characterized by cardiac symptoms such chest pain, palpitations, shortness of breath, fatigue, etc.; also called irritable heart, soldier's [en.oxforddictionaries.com]
Da Costa's syndrome is a psychiatric disorder in which the patient experiences chest pain which may mimic angina. It is found commonly, but not exclusively, in women in association with other symptoms of anxiety. [gpnotebook.com]
Chest Pain Chest pain occurs in following cardiovascular changes, angina pectoris (this pain is caused by intermittent myocardial ischemia), myocardial infarction, myopericarditis, in the case of the presence of fluid in the pericardium with cardiac tamponade [remedyland.com]
Pain mainly involving chest discomfort not typical of angina pectoris caused by ischemic heart disease was generally described as presenting as attacks [1]. [onlinelibrary.wiley.com]
- Cardiac Signs and Symptoms
SYMPTOMS AND SIGNS CARDIAC DISTURBANCES It is because of cardiac signs and symptoms that most cases appear for examination, and it is also because of these dominant manifestations that most cases become inadequate. [history.amedd.army.mil]
Skin
- Flushing
One or more associated symptoms were often present: faintness, syncope, headache, dizziness, insomnia, increased perspiration, difficulty in swallowing, tremor, flushing and pallor. [jamanetwork.com]
[…] after a severe flushing spell. [web.archive.org]
Psychiatrical
- Anxiety Disorder
Neurocirculatory asthenia is most typically seen as a form of anxiety disorder. neurotic disorder Neuroticism obsessive-compulsive disorder + pain disorder panic disorder + phobic disorder + post-traumatic stress disorder separation anxiety disorder somatization [rgd.mcw.edu]
Anxiety Disorders Neurocirculatory Asthenia [ncbi.nlm.nih.gov]
Neurocirculatory asthenia is most typically seen as a form of anxiety disorder. [profiles.umassmed.edu]
See Also: Anxiety Disorders [behavenet.com]
- Fear
The systemic reaction to some of the more powerful emotions, such as fear, anxiety, worry, apprehension, despondency, etc., are unpleasant and annoying. Oftentimes these sensations excite further fear and anxiety and induce introspective thoughts. [mdedge.com]
[…] descriptive definition of anxiety neurosis is that approved by the American Psychiatric Association: "Cases which show more or less continuous diffuse anxiety and apprehensive expectation, with paroxysmal exacerbations associated with physiological signs of fear [nejm.org]
Patients who have had some history of heart disease and are fearful and anxious for the future are among those who develop neurocirculatory asthenia. [rugusavay.com]
- Chronic Anxiety
S. : On the mechanisms causing hyperkinetic circulation in chronic anxiety states. J. Lab. clin. Med. 66, 875–876 (1965). Google Scholar Holmgren, A., B. Jonsson, M. Levander, H. Linderholm, T. Sjöstrand, and G. [link.springer.com]
Neurologic
- Irritability
Fatigue in irritable heart and other conditions. Arch. Int. Med. 1919; 23: 527 Auscultatory phenomena of the heart in normal man in soldiers with irritable heart. [ajconline.org]
It has been called by various other names, for example, irritable heart, effort syndrome, and disordered action of the heart, but none is quite so descriptive as neurocirculatory asthenia. [annals.org]
My research suggests that it is not entirely accurate to equate irritable heart with PTSD because PTSD is, like irritable heart, the discovery of physicians working at a specific moment in time with particular tools, techniques, and insights at their [civilwarmed.org]
[…] asthenia : a condition marked by shortness of breath, fatigue, rapid pulse, and heart palpitation sometimes with extra beats that occurs chiefly with exertion and is not due to physical disease of the heart — called also cardiac neurosis, effort syndrome, irritable [merriam-webster.com]
also called irritable heart, soldier's heart. Now historical. Origin Early 20th century; earliest use found in Military Surgeon. [en.oxforddictionaries.com]
- Stroke
It considers neurological conditions, including multiple sclerosis and stroke; psychiatric conditions as well as the overall treatment of fatigue in psychiatry; and general medical conditions, including HIV, heart disease, lupus, cancer, and others. [books.google.com]
Current studies show that small heart syndrome is associated with a smaller left ventricular chamber size and diminished cardiac stroke volume. [1] Small heart syndrome is characterized with weakness or fatigue even after ordinary exertion, heart palpitation [me-pedia.org]
In addition, a past alternative to pseudoephedrine, phenylpropanolamine, was voluntarily removed from the US market in 2000 following reports of its association with increased hemorrhagic stroke rates. [web.archive.org]
The increase in venous return and stroke volume can decrease the orthostatic tachycardia [ 19, 59 ]. [doi.org]
- Seizure
Lucia said they would also observe Reyes for any symptoms of seizure disorders. “We will also have to rule out seizure disorders, seizure attacks or convulsions,” he said. [philstar.com]
(in): · dissociative ( F44.5 ) · epilepsy ( G40-G41 ) · newborn ( P90 ) R56.0 Febrile convulsions R56.8 Other and unspecified convulsions Fit NOS Seizure (convulsive) NOS R57 Shock, not elsewhere classified Excludes: shock (due to): · anaesthesia ( T88.2 [apps.who.int]
Interestingly, hyperventilation not infrequently produces predominantly unilateral paresthesias that are more often on the left side, which can be confused with partial seizures, cerebrovascular disease, and multiple sclerosis. [medlink.com]
Robert Sheldon, Sarah Rose, Debbie Ritchie, Stuart J Connolly, Mary-Lou Koshman, Mary Anne Lee, Michael Frenneaux, Michael Fisher and William Murphy, Historical criteria that distinguish syncope from seizures, Journal of the American College of Cardiology [dx.doi.org]
Supporting the findings by Buteyko 4 and addressing the benefits of carbon dioxide in dealing with stress, Dr Ray Peat comments: A quick reduction of carbon dioxide caused by hyperventilation can provoke an epileptic seizure, and can increase muscle spasms [ndnr.com]
- Agitation
Reconditioning Aerobic exercise 20 min 3 times/wk PD, H If too vigorous, may worsen symptoms Hydration 2 L qd PD Edema Salt 2–4 g/d PD Edema Bupropion (Wellbutrin XL) 150–300 mg qd PD, H Tremor, agitation, insomnia Clonidine HCI (Catapres) 0.1–0.3 mg [doi.org]
Workup
Chronic hyperventilation is not as easily recognized and is often overlooked, missed, or ignored in diagnostic workups. The reason is multifactorial. [ndnr.com]
Treatment
This treatment has only been demonstrated to be of value in a few studies in selected subgroups of high-risk patients. [pesquisa.bvsalud.org]
but many suggested treatments have a poor evidence base. [web.archive.org]
Guilford Press, ٢٨/٠١/٢٠٠٤ - 704 من الصفحات This landmark work is indispensable for anyone studying anxiety or seeking to deliver effective psychological and pharmacological treatments. [books.google.com]
Prognosis
At a 1-year follow-up, patients with primary neurocirculatory asthenia had a much better prognosis than those with secondary neurocirculatory asthenia. [ncbi.nlm.nih.gov]
Prognosis and Impact of POTS At present, only limited data are available on the prognosis of patients with POTS. [web.archive.org]
Definitions | History | Symptoms | Management | Prognosis Definitions It is estimated that over 500,000 Americans are afflicted with Orthostatic Intolerance. [ndrf.org]
Etiology
Chapters coauthored by Barlow with other leading experts then outline what is currently known about the classification, presentation, etiology, assessment, and treatment of each of the DSM-IV anxiety disorders. [books.google.com]
Wake Disorders, Succinates/administration & dosage, Administration, Oral, Adult, Aged, Dose-Response Relationship, Drug, Drug Combinations, Drug Monitoring, Energy Metabolism/drug effects, Female, Headache/diagnosis, Headache/drug therapy, Headache/etiology [pesquisa.bvsalud.org]
PubMed search builder options Subheadings: analysis anatomy and histology blood chemically induced classification complications diagnosis diagnostic imaging drug therapy enzymology epidemiology etiology genetics history immunology metabolism mortality [ncbi.nlm.nih.gov]
“Etiology and pathogenesis of neurocirculatory athenia.” War. Med., 6, 221, 1944. Google Scholar Friedman, M.“Studies concerning the etiology and pathogenesis of neurocirculatory asthenia.” Am. Heart J., 30, 557, 1945. [link.springer.com]
The matter is controversial not only in terms of definition and etiology, but (especially) in terms of pathophysiology. [corhealthy.blogspot.com]
Epidemiology
PubMed search builder options Subheadings: analysis anatomy and histology blood chemically induced classification complications diagnosis diagnostic imaging drug therapy enzymology epidemiology etiology genetics history immunology metabolism mortality [ncbi.nlm.nih.gov]
After discussing the nature of fatigue—its history and epidemiology and its assessment, measurement, and interpretation—the book turns to specific conditions associated with fatigue. [books.google.com]
6 Differences in muscle sympathetic nerve discharge characteristics, in the setting of sympathetic fibre loss associated with POTS, may contribute to the predisposition to and greater prevalence of POTS in female individuals. 7 There are no accurate epidemiological [web.archive.org]
Additional controls included 245 neurologically asymptomatic patients with lung cancer prior to oncological treatment (identified from the Mayo Clinic Epidemiology and Genetics of Lung Cancer Research registry enrolled from 1999 to 2005; 35 had small [doi.org]
Pathophysiology
Nonpharmacologic and pharmacologic treatment methods are available to improve the underlying pathophysiology of the disorder. Laryngoscope, 127:1195–1198, 2017 [doi.org]
It can be divided into a number of overlapping pathophysiological models as follows. Neuropathic This is thought to be associated with partial dysautonomia. [web.archive.org]
Prevention
In many cases relapses were prevented by determining the limits of exertion and lifestyle and keeping within them. The limits were related to abnormalities in respiration and circulation. [medhelp.org]
Information about Neurocirculatory Asthenia (Cardiac Neurosis) causes, symptoms and prevention. [rugusavay.com]
[…] analysis anatomy and histology blood chemically induced classification complications diagnosis diagnostic imaging drug therapy enzymology epidemiology etiology genetics history immunology metabolism mortality nursing pathology physiology physiopathology prevention [ncbi.nlm.nih.gov]
Prevention, based largely on altering behaviors that contribute to this chronic disease, is now as important a goal as is treatment of those already afflicted. [books.google.com]