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Postural tachycardia syndrome and pregnancy
Author(s) -
Bhatia Meena,
Kavi Lesley,
NelsonPiercy Catherine
Publication year - 2018
Publication title -
the obstetrician and gynaecologist
Language(s) - English
Resource type - Journals
eISSN - 1744-4667
pISSN - 1467-2561
DOI - 10.1111/tog.12478
Subject(s) - pregnancy , medicine , multidisciplinary approach , disease , tachycardia , multidisciplinary team , intensive care medicine , pediatrics , obstetrics , nursing , genetics , biology , social science , sociology
Key content Postural tachycardia syndrome (Po TS ) is a potentially debilitating autonomic disturbance that primarily affects females between the ages of 15 and 50 years, and may present for the first time during pregnancy. The typical signs and symptoms are vague and therefore the condition is often under‐ or misdiagnosed as pregnancy may induce similar symptoms. If correctly diagnosed and managed, patients have a good outcome; however, a delay in diagnosis may be disabling. Po TS is unfamiliar to most clinicians and its variable course during pregnancy requires a better understanding of the condition. Po TS management in pregnancy may be challenging and clinicians should be aware of common strategies that are suitable in pregnancy. A multidisciplinary approach is essential for correctly diagnosing and managing the condition and optimising pregnancy outcomes.Learning objectives To understand: The common symptoms and signs of Po TS . How to diagnose and manage Po TS safely in pregnancy. The likely course of disease in pregnant women with Po TS . The effect of pregnancy on Po TS . Multidisciplinary antenatal, intrapartum and postnatal considerations required for patients with Po TS .Ethical issues The impact of delayed diagnosis on individuals. The safety of commonly used pharmaceutical agents. The role of psychological support.