Orthostatische Kreislaufdysregulation

Zusammenfassung

Orthostatische Kreislaufdysregulationen stellen ein häufiges Problem für den klinisch tätigen Pädiater dar. Trotz der prinzipiellen Harmlosigkeit können zahlreiche Rezidive oder die bedrohlich empfundenen Bewusstlosigkeiten einen erheblichen Leidensdruck verursachen. Mit Kipptischuntersuchungen und einer gezielten Anamneseerhebung lässt sich die Diagnose oft relativ einfach stellen und eine Zuordnung zu verschiedenen Subtypen treffen. Die Möglichkeiten einer Intervention der Lebensführung sowie die aktuellen medikamentösen Therapiemöglichkeiten werden dargestellt. In den meisten Fällen lässt sich die Symptomatik durch eine vorübergehende Behandlung gut beeinflussen.

Summary

Orthostatic intolerance is an often presented problem for every pediatrician in clinical practice. In spite of being harmless, it may cause substancial strain by suffering from repetitive symptoms or seemingly threatening unconsciousness. With tilt-table-testing and a careful history taking, diagnostic procedure and recognition of different sybtyps is uncomplicated in many cases. In this article the possible interventions in lifestyle and medical treatment options are presented. Usually only an intermittend therapy will be necessary and a successful reduction of symptoms can be expected.

Schlüsselwörter

Orthostatische Intoleranz - POTS - neurokardiogene Synkope - Kipptischuntersuchung

Keywords

Orthostatic intolerance - POTS - neurocardiogenic syncope - tilt-table-testing

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