Is ivabradine a wonder drug for atypical POTS?

BMJ Case Rep. 2019 Apr 20;12(4):e227789. doi: 10.1136/bcr-2018-227789.

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.

Publication types

  • Case Reports

MeSH terms

  • Cardiovascular Agents / therapeutic use*
  • Electrocardiography
  • Female
  • Humans
  • Ivabradine / therapeutic use*
  • Postural Orthostatic Tachycardia Syndrome / complications
  • Postural Orthostatic Tachycardia Syndrome / diagnosis
  • Postural Orthostatic Tachycardia Syndrome / drug therapy*
  • Syncope / etiology*
  • Tilt-Table Test
  • Young Adult

Substances

  • Cardiovascular Agents
  • Ivabradine