docruДоктор.РуTitle1727-23782713-2994ООО "ГК "РУСМЕДИКАЛ"10.31550/1727-2378-2023-22-2-26-31docru-223Research ArticleКАРДИОЛОГИЯCARDIOLOGYПроблемы диагностики синдрома постуральной ортостатической тахикардии. Клинические примерыProblems with the Diagnostics of Postural Orthostatic Tachycardia Syndrome. Case Studieshttps://orcid.org/0000-0002-9242-2838ГвоздеваЮ. Р.GvozdevaYu. R.

Гвоздева Юлия Романовна — студент лечебного факультета ИПО ФГБОУ ВО КрасГМУ им. проф. В.Ф. Войно-Ясенецкого Минздрава России.

660022, Красноярск, ул. Партизана Железняка, д. 1

1 Partizan Zheleznyak Str., Krasnoyarsk, 660022

https://orcid.org/0000-0002-1294-3116КантимироваЕ. А.KantimirovaE. A.

Кантимирова Елена Анатольевна — к. м. н., доцент кафедры медицинской генетики и клинической нейрофизиологии ИПО ФГБОУ ВО КрасГМУ им. проф. В.Ф. Войно-Ясенецкого Минздрава России.

660022, Красноярск, ул. Партизана Железняка, д. 1

1 Partizan Zheleznyak Str., Krasnoyarsk, 660022

kantilea@mail.ruhttps://orcid.org/0000-0003-4639-6365ДмитренкоД. В.DmitrenkoD. V.

Дмитренко Диана Викторовна — д. м. н., доцент, заведующая кафедрой медицинской генетики и клинической нейрофизиологии ИПО ФГБОУ ВО КрасГМУ им. проф. В.Ф. Войно-Ясенецкого Минздрава России.

660022, Красноярск, ул. Партизана Железняка, д. 1

1 Partizan Zheleznyak Str., Krasnoyarsk, 660022

mart2802@yandex.ruФГБОУ ВО «Красноярский государственный медицинский университет имени профессора В.Ф. Войно-Ясенецкого» Минздрава РоссииРоссияProfessor V.F. Voyno-Yasenetsky Krasnoyarsk State Medical UniversityRussian Federation202318022025222ТЕРАПИЯ2631Copyright © Гвоздева Ю.Р., Кантимирова Е.А., Дмитренко Д.В., 20252025Гвоздева Ю.Р., Кантимирова Е.А., Дмитренко Д.В.Gvozdeva Y.R., Kantimirova E.A., Dmitrenko D.V.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://docru.elpub.ru/jour/article/view/223Цель статьи

Цель статьи: в клинических примерах продемонстрировать сложности диагностики синдрома постуральной ортостатической тахикардии.

Основные положения

Основные положения. Спектр клинических проявлений синдрома постуральной ортостатической тахикардии различается у разных пациентов и может иметь сходный клинический фенотип с большим числом неврологических и соматических заболеваний.

Заключение

Заключение. Представленные нами клинические случаи демонстрируют значимость диагностических мероприятий в проведении дифференциальной диагностики синдрома с другими видами нарушения сознания. Активный тест стоя, который можно легко выполнить, может немедленно дать диагностическую подсказку, если он подтверждается историей характерной хронической ортостатической непереносимости, постуральным учащением сердечного ритма и разнообразной панорамой сопутствующих жалоб.

Objective of the Review

Objective of the Review: To demonstrate the complexity in diagnosing postural orthostatic tachycardia syndrome.

Key Points

Key Points. Clinical manifestations of postural orthostatic tachycardia syndrome vary and can have a clinical phenotype that is similar to a number of neurological and somatic conditions.

Conclusion

Conclusion. The case studies presented demonstrate the significance of diagnostic manoeuvres in differentiating this syndrome from other types of impairment of consciousness. An active test in standing position which is easy to conduct can be a diagnostic prompt, if it is verified with a history of typical chronic orthostatic intolerability, postural heart acceleration, and a variety of accompanying complaints.

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The authors declare that there are no conflicts of interest present.