Autoimmunity and postural orthostatic tachycardia syndrome: Implications in diagnosis and management.


Journal

Cleveland Clinic journal of medicine
ISSN: 1939-2869
Titre abrégé: Cleve Clin J Med
Pays: United States
ID NLM: 8703441

Informations de publication

Date de publication:
03 07 2023
Historique:
medline: 5 7 2023
pubmed: 4 7 2023
entrez: 3 7 2023
Statut: epublish

Résumé

Postural orthostatic tachycardia syndrome (POTS)-sustained tachycardia upon standing without orthostatic hypotension-can be diagnosed clinically without an extensive diagnostic evaluation unless certain atypical features suggest an alternative diagnosis. A unifying pathophysiologic mechanism has not been identified, although several have been proposed. Similarities between POTS and various autoimmune disorders suggest an immune mechanism in a subset of patients. However, no causative antibody has been identified, and associated antibodies are rarely clinically relevant. Moreover, immunotherapies are not currently recommended for POTS, although clinical trials are underway to clarify their utility.

Identifiants

pubmed: 37400156
pii: 90/7/439
doi: 10.3949/ccjm.90a.22093
doi:

Types de publication

Journal Article Review

Langues

eng

Sous-ensembles de citation

IM

Pagination

439-447

Commentaires et corrections

Type : CommentIn

Informations de copyright

Copyright © 2023 The Cleveland Clinic Foundation. All Rights Reserved.

Auteurs

Albert Aboseif (A)

Department of Neurology, Cleveland Clinic, Cleveland, OH aboseia@ccf.org.

J Daniel Bireley (JD)

Department of Neurology, Cleveland Clinic, Cleveland, OH.

Yuebing Li (Y)

Department of Neurology, Cleveland Clinic, Cleveland, OH.

David Polston (D)

Department of Neurology, Cleveland Clinic, Cleveland, OH.

Justin R Abbatemarco (JR)

Mellen Center, Cleveland Clinic, Cleveland, OH.

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Classifications MeSH