Well-Managed Postural Orthostatic Tachycardia Syndrome during Dental Therapy and Analysis of Heart Rate Variability: A Case Report
Well-Managed Postural Orthostatic Tachycardia Syndrome during Dental Therapy and Analysis of Heart Rate Variability: A Case Report
复制标题
牙科治疗期间管理良好的体位性心动过速综合征及心率变异性分析：病例报告
DOI：
10.6084/m9.figshare.1421905.v1
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发表时间：
2015
期刊：
影响因子：
--
通讯作者：
M. Azuma
中科院分区：
文献类型：
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作者：
Iosr Journals;Y. Momota;S. Tomioka;R. Ôtsuka;Daisuke Shioguri;H. Takano;M. Azuma
这是牙科中通过心率变异性（HRV）分析监测的第一例术中管理良好的体位性心动过速综合征（POTS）的病例报告。POTS相关的自主神经功能障碍是由姿势变化引起的，容易导致循环动力学紊乱;然而，大多数牙科实践尚未意识到管理POTS的重要性。我们测量了一位POTS患者在牙科治疗过程中的自主神经活动，并评估了HRV分析对POTS的临床意义。患者是一名40岁的日本男性。他被诊断出患有阻生智齿，正在治疗支气管哮喘和POTS。在局部麻醉下安全地进行了拔牙手术。在治疗过程中，无论是直立位还是仰卧位，他都没有出现直立性心动过速或代偿性低血压。HRV分析显示POTS相关的自主神经功能障碍，即姿势改变时的自主神经不稳定。因此，心率变异性分析应成为一个有用的工具，安全和可靠的牙科管理的POTS。
This is the first case report of well-managed postural orthostatic tachycardia syndrome (POTS) intraoperatively monitored by heart rate variability (HRV) analysis in dentistry. POTS-associated autonomic dysfunction is induced by postural changes and easily leads to disturbances in circulatory dynamics; however, most dental practices have not yet realized the importance of managing POTS. We measured autonomic activity in a patient with POTS during dental therapy and assessed the clinical significance of HRV analysis for POTS. The patient was a 40-year-old Japanese male. He was diagnosed with impacted wisdom teeth and was in treatment for bronchial asthma and POTS. A surgical procedure to extract the teeth was safely performed under local anesthesia. During the therapy, he developed neither orthostatic tachycardia nor compensatory hypotension in either the upright or supine position. HRV analysis revealed POTS-associated autonomic dysfunction, that is, autonomic instability during postural change. Thus HRV analysis should become a useful tool for safe and secure dental management of POTS.
姿势性心动过速综合征 (POTS)：病理生理学、诊断
影响因子：
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作者：
Raj,SatishR
通讯作者：
Raj,SatishR