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Ventricular fibrillation (VF) is characterized by rapid (>300 beats a per minute), irregular electrical activation with variable electrocardiographic waveforms that prevents coordinated myocardial contraction, resulting in immediate loss of cardiac output.1 It most commonly occurs in the context of coronary artery disease.2,3 Resuscitation efforts are critically time-dependent: with each minute of untreated VF, the survival rate declines […]

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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