Clinical characteristics of orthostatic hypertension with hemodynamic response of vasovagal syncope and postural orthostatic tachycardia syndrome in children and adolescents
10.3760/cma.j.issn.0578-1310.2016.04.007
- VernacularTitle:儿童和青少年直立性高血压伴血管迷走性晕厥、体位性心动过速综合征血流动力学反应的临床特征
- Author:
Runmei ZOU
1
;
Cheng WANG
;
Lijia WU
;
Xuemei LUO
;
Ping LIN
;
Fang LI
;
Zhenwu XIE
Author Information
1. 中南大学湘雅二医院儿童医学中心儿童心血管专科
- Keywords:
Syncope,vasovagal;
Orthostatic intolerance;
Postural orthostatic tachycardia syndrome;
Child
- From:
Chinese Journal of Pediatrics
2016;54(4):264-268
- CountryChina
- Language:Chinese
-
Abstract:
Objective To analyze the clinical characteristics of orthostatic hypertension (OHT) with hemodynamic response of vasovagal syncope (VVS) and postural orthostatic tachycardia syndrome (POTS) in children and adolescents.Method Children and adolescents admitted to the Second Xiangya Hospital from July 2008 to April 2015 were included,and divided into three groups according to the results of head-up tilt test (HUTT):OHT group,OHT + VVS group,OHT + POTS group.The clinical characteristics were analyzed.Result Totally 629 cases were included,300 cases in OHT group,264 cases in OHT + VVS group and 65 cases in OHT + POTS group.Syncope and dizziness were the main symptoms of the three groups,and the proportion of patients complaining syncope in OHT + VVS group was higher than that in OHT group (49.6％ vs.35.7％,x2 =11.211,P＜0.05) and in OHT +POTS group (49.6％ vs.27.7％,x2 =10.123,P＜0.05).Baseline heart rate (HR) ((78 ± 14) beat/min vs.(77 ± 12) beat/min,t =2.570,P ＜ 0.05),HUTT 3 min HR ((100 ± 14) beat/min vs.(94 ± 13) beat/min,t =17.464,P ＜0.05) and △HR ((22 ± 12) beat/min vs.(17 ±9) beat/min,t =19.303,P ＜0.05) were higher in 0HT + VVS group than in OHT group.When compared with OHT group,baseline systolic blood pressure (SBP) ((105±10) mmHg(1 mmHg=0.133kPa) vs.(103±10) mmHg,t=4.918,P＜0.05),HUTT 3 min SBP((114 ± 10) mmHg vs.(113 ± 11) mmHg,t =4.046,P ＜ 0.05),baseline diastolic blood pressure (DBP)((64±6) mmHgvs.(63 ±7) mmHg,t=2.618,P＜0.05),HUTT3 min DBP((78±8) mmHg vs.(77 ±8) mmHg,t =3.302,P ＜0.05),HUTT 3 min HR ((107 ± 14) beat/min vs.(94 ±13) beat/min,t =24.229,P ＜ 0.05) and △HR ((32 ± 11) beat/min vs.(17 ± 9) beat/min,t =39.146,P ＜ 0.05) in OHT + POTS group were significantly higher,and baseline HR ((75 ± 14) beat/min vs.(77±12) beat/min,t=-4.221,P＜0.05)in OHT +POTS group was lower.Conclusion OHT with higher supine HR,upright HR and HR change is more susceptible to being complicated with VVS,while OHT with higher supine and upright SBP,higher supine and upright DBP and lower supine HR is more susceptible to being accompanied by POTS.
