Desafios Diagnósticos na Síndrome da Taquicardia Postural Ortostática (POTS) em uma Adolescente

Authors

  • Jalles Dantas Lucena Universidade Federal do Ceará (UFC)
  • Thamiris Silva Queiroz Universidade Federal do Ceará (UFC)
  • Beatriz Soares Brito Universidade Federal do Ceará (UFC)
  • Francisco Pitombeira Lima Universidade Federal do Ceará (UFC)
  • Anna Flávia da Cruz Café Universidade Federal do Ceará (UFC)
  • Francisco de Assis Aquino Gondim Universidade Federal do Ceará (UFC) Centro Universitário Unichristus (UNICHRISTUS)

DOI:

https://doi.org/10.12662/2317-3076jhbs.v5i4.1353.p378-381.2017

Keywords:

Hipotireoidismo, Síncope, Síndrome da Taquicardia Postural Ortostática

Abstract

Dificuldades no diagnóstico de Síndrome da Taquicardia Postural Ortostática (POTS) numa adolescente de 16 anos, com hipotireoidismo a 10 anos, apresenta sudorese, palidez, calor, taquicardia, fadiga e tontura. Após seis meses, houve recidiva pós-prandial, revertida com manobra de Trendelenburg. Tilt Test demonstrou em decúbito dorsal pressão arterial (PA) 106/71mmHg e frequência cardíaca (FC) 72bpm. Após terceiro minuto, PA 101/70mmHg e FC 99bpm. Além hipotireoidismo, não detectou-se outros fatores de risco para disautonomia. Propranolol (10mg, 12/12h) controlou sintomas. Diagnóstico de POTS é difícil em adolescentes, confundindo com Epilepsia e Síncope Neurocardiogênica. Nesse caso, hipotireoidismo parece ser fator causal da POTS.

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Author Biographies

Jalles Dantas Lucena, Universidade Federal do Ceará (UFC)

Departamento de Morfologia

Thamiris Silva Queiroz, Universidade Federal do Ceará (UFC)

Graduanda em Medicina pela Universidade Federal do Ceará

Beatriz Soares Brito, Universidade Federal do Ceará (UFC)

Graduanda em Medicina pela Universidade Federal do Ceará

Francisco Pitombeira Lima, Universidade Federal do Ceará (UFC)

Graduando em Medina pela Universidade Federal do Ceará

Anna Flávia da Cruz Café, Universidade Federal do Ceará (UFC)

Especialista em Saúde da Família (Escola de Saúde Pública do Ceará)

Francisco de Assis Aquino Gondim, Universidade Federal do Ceará (UFC) Centro Universitário Unichristus (UNICHRISTUS)

Departamentos de Morfologia e de Medicina Clínica, Serviço de Neurologia da Universidade Federal do Ceará

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Published

2017-10-03

How to Cite

1.
Lucena JD, Queiroz TS, Brito BS, Lima FP, Café AF da C, Gondim F de AA. Desafios Diagnósticos na Síndrome da Taquicardia Postural Ortostática (POTS) em uma Adolescente. J Health Biol Sci. [Internet]. 2017 Oct. 3 [cited 2024 Jul. 22];5(4):378-81. Available from: https://periodicos.unichristus.edu.br/jhbs/article/view/1353

Issue

Vol. 5 No. 4 (2017): Journal of Health and Biological Sciences

Section

Case Report

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