Is it possible for your to tell me the significance of these results on tilt table testing for a teenage male who has been hypertensive and tachycardic for about 15 months, even on medication?
While lying down, he was hypotensive and bradycardic. Halfway upright, all was normal. When upright, he was normal to hypotensive and tachy again, but absolutely NO symptoms such as dizziness, fainting, etc.--none.
Obviously this rules out neurocardiogenic syncope. What does this tell us about POTS (postural orthostatic tachycardia syndrome)? From what I understand, his reactions should be exactly the opposite to have POTS.
Can you offer any ideas as to what would cause this total "about face" in the blood pressure and heart rate (I realize he is dysautonomic).
Thanks; your Forum is a wonderful service and I truly appreciate the help you have afforded to us.
We are leaving for our second trip to Mayo Clinic on Monday; hopefully we will get more results this time....it's so discouraging and he has lost 37-1/2 lbs. in 3-1/2 months for no apparent reason. If interested, you can read more about "Mystery Boy" further down the forum in "Teenager Going Downhill." There are a few separate articles about him. Docs all around the country are having me e-mail them with his information so that they can use it as a learning tool. Just hope he's going to be alright.
What can you tell me about Neurocardiogenic Syncope? Address table tilt testing and the significance of responses such as seizure and heart pause. Adress the helpfulness of consuming large quantities of salt and fluids. Treatments available?
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