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소아에서의 기립성 저혈압과 기립성 체위성 빈맥증후군: 임상 양상 및 신경생리검사 비교

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Author(s)
김윤겸박지현최희정김준식
Keimyung Author(s)
Choi, Hee JoungKim, Joon Sik
Department
Dept. of Pediatrics (소아청소년학)
Journal Title
대한소아신경학회지
Issued Date
2017
Volume
25
Issue
3
Keyword
Orthostatic hypotensionPostural orthostatic tachycardia syndromeChildren
Abstract
Purpose: The clinical characteristics and neuropsychological tests of orthostatic hypotension (OH) and postural orthostatic tachycardia syndrome (POTS) in children were compared. Methods: From August 2011 to April 2015, we enrolled patients who visited hospital with dizziness or syncope. According to the results of head-up tilt test (HUTT), the patients were classified into 4 groups; OH group, POTS group, normal group I who had no orthostatic symptom during HUTT, and normal group II who had orthostatic symptom during HUTT. Results: Eighty-eight patients were enrolled with 11(12.5%) in OH group, 13(14.7%) in POTS group, 49(55.7%) in normal group I and 15(17.0%) in the normal group II. During HUTT, the temporal changes of systolic, diastolic, and mean blood pressure of OH group were significantly different from those of POTS group, normal group I, and normal group II. Heart rate changes after tilt showed increase trend in all 4 groups and there was no significant different between OH and POTS group. In normal group II, the temporal changes of diastolic and mean blood pressure were similar to those in POTS group and were significantly different from normal group I. In the autonomic nervous system test, the heart rate response to deep breathing (HRDB) was significantly different between normal group I and II. Conclusions: In pediatric OH patients, heart rate may be increased with blood pressure fall. And if orthostatic symptoms are associated with HUTT, we should not exclude OI even if the test result do not meet the criteria for diagnosis.
Alternative Title
Orthostatic Hypotension and Postural Orthostatic Tachycardia Syndrome in Children: Comparison of Clinical Features and Neurophysiology Test
Keimyung Author(s)(Kor)
최희정
김준식
Publisher
School of Medicine (의과대학)
Citation
김윤겸 et al. (2017). 소아에서의 기립성 저혈압과 기립성 체위성 빈맥증후군: 임상 양상 및 신경생리검사 비교. 대한소아신경학회지, 25(3), 156–161. doi: 10.26815/jkcns.2017.25.3.156
Type
Article
ISSN
1226-6884
DOI
10.26815/jkcns.2017.25.3.156
URI
https://kumel.medlib.dsmc.or.kr/handle/2015.oak/41605
Appears in Collections:
1. School of Medicine (의과대학) > Dept. of Pediatrics (소아청소년학)
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