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POTS following traumatic stress: interacting central and intracardiac neural control?

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POTS following traumatic stress: interacting central and intracardiac neural control? / Meyer, Christian; Mühlsteff, Jens; Drexel, Thomas; Eickholt, Christian; Kelm, Malte; Zahiragic, Lejla; Ziegler, Dan.

In: J DIABETES COMPLICAT, Vol. 29, No. 3, 04.2015, p. 459-461.

Research output: SCORING: Contribution to journal › SCORING: Journal article › Research › peer-review

Harvard

Meyer, C, Mühlsteff, J, Drexel, T, Eickholt, C, Kelm, M, Zahiragic, L & Ziegler, D 2015, 'POTS following traumatic stress: interacting central and intracardiac neural control?', J DIABETES COMPLICAT, vol. 29, no. 3, pp. 459-461. https://doi.org/10.1016/j.jdiacomp.2015.02.003

APA

Meyer, C., Mühlsteff, J., Drexel, T., Eickholt, C., Kelm, M., Zahiragic, L., & Ziegler, D. (2015). POTS following traumatic stress: interacting central and intracardiac neural control? J DIABETES COMPLICAT, 29(3), 459-461. https://doi.org/10.1016/j.jdiacomp.2015.02.003

Vancouver

Meyer C, Mühlsteff J, Drexel T, Eickholt C, Kelm M, Zahiragic L et al. POTS following traumatic stress: interacting central and intracardiac neural control? J DIABETES COMPLICAT. 2015 Apr;29(3):459-461. https://doi.org/10.1016/j.jdiacomp.2015.02.003

Bibtex

@article{59e04d608c3142cf99444a340a758080,
title = "POTS following traumatic stress: interacting central and intracardiac neural control?",
abstract = "Cardiovascular autonomic dysfunction is one of the most overlooked complications in patients with diabetes. We report the case of a 19-year-old woman with a 4-year history of diabetes referred due to palpitations and light-headedness following traumatic stress. Rise of heart rate and blood pressure during tilt table testing indicated hyperadrenergic postural orthstatic tachycardia syndrome (POTS). Elevated blood pressure variability, an indirect parameter of increased sympathetic activity, remained almost stable during orthostatic stress. Short-term treatment with ivabradine in combination with psychosocial support alleviated POTS-related symptoms. Our findings suggest that traumatic stress in patients with type 1 diabetes mellitus might translate into disturbed neural heart rate control due to a central, ephemeral alteration in autonomic balance. ",
keywords = "Central Nervous System/physiology, Diabetes Mellitus, Type 1/complications, Female, Heart/innervation, Humans, Nerve Net/physiopathology, Postural Orthostatic Tachycardia Syndrome/etiology, Stress Disorders, Traumatic/complications, Young Adult",
author = "Christian Meyer and Jens M{\"u}hlsteff and Thomas Drexel and Christian Eickholt and Malte Kelm and Lejla Zahiragic and Dan Ziegler",
note = "Copyright {\textcopyright} 2015 Elsevier Inc. All rights reserved.",
year = "2015",
month = apr,
doi = "10.1016/j.jdiacomp.2015.02.003",
language = "English",
volume = "29",
pages = "459--461",
journal = "J DIABETES COMPLICAT",
issn = "1056-8727",
publisher = "Elsevier Inc.",
number = "3",

}

RIS

TY - JOUR

T1 - POTS following traumatic stress: interacting central and intracardiac neural control?

AU - Meyer, Christian

AU - Mühlsteff, Jens

AU - Drexel, Thomas

AU - Eickholt, Christian

AU - Kelm, Malte

AU - Zahiragic, Lejla

AU - Ziegler, Dan

N1 - Copyright © 2015 Elsevier Inc. All rights reserved.

PY - 2015/4

Y1 - 2015/4

N2 - Cardiovascular autonomic dysfunction is one of the most overlooked complications in patients with diabetes. We report the case of a 19-year-old woman with a 4-year history of diabetes referred due to palpitations and light-headedness following traumatic stress. Rise of heart rate and blood pressure during tilt table testing indicated hyperadrenergic postural orthstatic tachycardia syndrome (POTS). Elevated blood pressure variability, an indirect parameter of increased sympathetic activity, remained almost stable during orthostatic stress. Short-term treatment with ivabradine in combination with psychosocial support alleviated POTS-related symptoms. Our findings suggest that traumatic stress in patients with type 1 diabetes mellitus might translate into disturbed neural heart rate control due to a central, ephemeral alteration in autonomic balance.

AB - Cardiovascular autonomic dysfunction is one of the most overlooked complications in patients with diabetes. We report the case of a 19-year-old woman with a 4-year history of diabetes referred due to palpitations and light-headedness following traumatic stress. Rise of heart rate and blood pressure during tilt table testing indicated hyperadrenergic postural orthstatic tachycardia syndrome (POTS). Elevated blood pressure variability, an indirect parameter of increased sympathetic activity, remained almost stable during orthostatic stress. Short-term treatment with ivabradine in combination with psychosocial support alleviated POTS-related symptoms. Our findings suggest that traumatic stress in patients with type 1 diabetes mellitus might translate into disturbed neural heart rate control due to a central, ephemeral alteration in autonomic balance.

KW - Central Nervous System/physiology

KW - Diabetes Mellitus, Type 1/complications

KW - Female

KW - Heart/innervation

KW - Humans

KW - Nerve Net/physiopathology

KW - Postural Orthostatic Tachycardia Syndrome/etiology

KW - Stress Disorders, Traumatic/complications

KW - Young Adult

U2 - 10.1016/j.jdiacomp.2015.02.003

DO - 10.1016/j.jdiacomp.2015.02.003

M3 - SCORING: Journal article

C2 - 25708501

VL - 29

SP - 459

EP - 461

JO - J DIABETES COMPLICAT

JF - J DIABETES COMPLICAT

SN - 1056-8727

IS - 3

ER -