Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
Case Reports
. 2019 Apr 20;12(4):e227789.
doi: 10.1136/bcr-2018-227789.

Is ivabradine a wonder drug for atypical POTS?

Affiliations
Case Reports

Is ivabradine a wonder drug for atypical POTS?

Muhammad Arslan Cheema et al. BMJ Case Rep. .

Abstract

Syncope is a sudden loss and gain of consciousness. Traditionally, it is caused by the abnormalities of neurological, cardiac or vasovagal systems. We present a case of a 19-year-old woman presenting with recurrent syncopal episodes with no apparent cause. Examination and investigations were unremarkable for any aetiology except positive tilt tests for postural orthostatic tachycardia syndrome. The purpose of this report is to make physicians aware of the unique presentation of this rare aetiology with recurrent syncopal episodes and the novel management approach.

Keywords: general practice / family medicine; neurology.

PubMed Disclaimer

Conflict of interest statement

Competing interests: None declared.

Figures

Figure 1
Figure 1
ECG showing normal sinus rate and rhythm before the episode.
Figure 2
Figure 2
ECG showing sinus tachycardia during tilt table testing.

Similar articles

Cited by

References

    1. Hilz MJ, Marthol H, Neundörfer B. [Syncope - a systematic overview of classification, pathogenesis, diagnosis and management]. Fortschr Neurol Psychiatr 2002;70:95–107. 10.1055/s-2002-19923 - DOI - PubMed
    1. Mar PL, Raj SR. Neuronal and hormonal perturbations in postural tachycardia syndrome. Front Physiol 2014;5:220 10.3389/fphys.2014.00220 - DOI - PMC - PubMed
    1. Khan S, Hamid S, Rinaldi C. Treatment of inappropriate sinus tachycardia with ivabradine in a patient with postural orthostatic tachycardia syndrome and a dual chamber pacemaker. Pacing Clin Electrophysiol 2009;32:131–3. 10.1111/j.1540-8159.2009.02186.x - DOI - PubMed
    1. Nakatani Y, Mizumaki K, Nishida K, et al. . Atrioventricular node ablation and pacemaker implantation for recurrent syncope in a patient with postural tachycardia syndrome (POTS). J Cardiovasc Electrophysiol 2011;22:1284–7. 10.1111/j.1540-8167.2011.02078.x - DOI - PubMed
    1. Aliyev F, Celiker C, Türkoğlu C, et al. . Successful use of ivabradine in a case of exaggerated autonomic dysfunction. Turk Kardiyol Dern Ars 2010;38:285–9. - PubMed

Publication types

MeSH terms