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lüll A review of postural orthostatic tachycardia syndrome Carew S; Connor MO; Cooke J; Conway R; Sheehy C; Costelloe A; Lyons DEuropace 2009[Jan]; 11 (1): 18-25A 21-year-old female reports an 18-month history of light-headedness on standing. This is often associated with palpitations and a feeling of intense anxiety. She has had two black-outs in the past 12 months. She is not taking any regular medications. Her supine blood pressure was 126/84 mmHg with a heart rate of 76 bpm, and her upright blood pressure was 122/80 mmHg with a heart rate of 114 bpm. A full system examination was otherwise normal. She had a 12-lead electrocardiogram performed which was unremarkable. She was referred for head-up tilt testing. She was symptomatic during the test and lost consciousness at 16 min. Figure 1 summarizes her blood pressure and heart rate response to tilting. A diagnosis of postural orthostatic tachycardia syndrome with overlapping vasovagal syncope was made.|Female[MESH]|Humans[MESH]|Orthostatic Intolerance/*diagnosis/*therapy[MESH]|Postural Orthostatic Tachycardia Syndrome/*diagnosis/*therapy[MESH]|Tilt-Table Test/*methods[MESH]|Young Adult[MESH] |