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Native valve infective endocarditis (IE) is rare, with an incidence of 3–7 cases per 100,000 person-years.1,2 Cardiac structural complications from local infection extension include valvular destruction, peri-annular abscess and fistula formation. Left ventricular pseudoaneurysm (LVP) from IE is exceedingly rare, occurring in <1% of cases, and is associated with high morbidity and mortality. Diagnosis is challenging due to nonspecific symptoms […]

Heart rate variability analysis in postural orthostatic tachycardia syndrome: a case report

Vincenzo Russo, Ilaria De Crescenzo, Ernesto Ammendola, Carolina Pagano, Cristina Savarese, Lucio Santangelo, Raffaele Calabrò
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Published Online: Jul 26th 2018 Heart International 2006;2(2):126-8
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Abstract

Overview

The authors present a case of 36 year old male patient with idiopathic postural orthostatic
tachycardia syndrome (POTS) diagnosed during head-up tilt testing. Power spectral
analysis of heart rate variability (HRV) during the tilt test revealed that the ratio of low and high frequency
powers (LF/HF) increased with the onset of orthostatic intolerance. This analysis confirmed
in our patient a strong activation in sympathetic tone. (Heart International 2006; 2: 126-8)

Keywords

Postural orthostatic tachycardia syndrome, POTS, Sympathovagal balance, Heart rate variability, HRV

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Article Information

Correspondence

Vincenzo Russo, MD, Via della Resistenza, 48, 80021 Afragola (NA) – Italy, v.p.russo@libero.it

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