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Postural Orthostatic Tachycardia in a Patient with Type 2 Diabetes with Diabetic Neuropathy


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タイトル: Postural Orthostatic Tachycardia in a Patient with Type 2 Diabetes with Diabetic Neuropathy
著者: Tomichi, Yoichi / Kawano, Hiroaki / Mukaino, Akihiro / Chiba, Akiyo / Doi, Yoshiyuki / Arakawa, Shuji / Ishimatsu, Takashi / Fukae, Satoki / Abiru, Norio / Maemura, Koji
発行日: 2018年11月30日
出版者: International Heart Journal Association
引用: International Heart Journal, 59(6), pp.1488-1490; 2018
抄録: 24-year-old Japanese man with type 2 diabetes mellitus and diabetic neuropathy was admitted to our ward to evaluate the cause of orthostatic intolerance. During a head-up tilt test, his heart rate increased from 105 to 155 beats/minute within 3 minutes, and chest discomfort began. He was diagnosed with postural orthostatic tachycardia syndrome (POTS), and orthostatic intolerance disappeared after β-blocker treatment. Scintigraphy using123I-metaiodobenzylguanidine showed decreased cardiac uptake. Power spectral analysis of heart rate variability for 24 hours in Holter electrocardiography demonstrated decreases in both sympathetic and parasympathetic nervous system activities, with a greater decrease in parasympathetic activity than sympathetic activity. The relative sympathetic hyperactivity in the present patient with diabetic neuropathy seemed to be related to POTS.
キーワード: Autonomic nervous system / Head-up tilt test / Holter electrocardiography / Orthostatic intolerance
URI: http://hdl.handle.net/10069/38738
ISSN: 13492365
DOI: 10.1536/ihj.17-628
権利: ©2018, International Heart Journal Association. All rights reserved.
資料タイプ: Journal Article
原稿種類: publisher
出現コレクション:110 学術雑誌論文

引用URI : http://hdl.handle.net/10069/38738

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