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Orthostatic Intolerance
Pediatric Research
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Orthostatic Intolerance (OI): a syndrome including
neurally mediated hypotension, delayed orthostatic hypotension, and postural
orthostatic tachycardia syndrome, all of which are considered forms of
dysautonomia
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Articles for Professionals and the General Public
Introductions for the General Public:
- General Information Brochure on Orthostatic Intolerance and Its Treatment by
Peter C. Rowe, MD, Johns Hopkins Children's Center
- The diagnosis of chronic fatigue syndrome,
fibromyalgia, and orthostatic intolerance in youth by Rebecca Moore Word file
- Orthostatic Intolerance - An introduction to the subject by
David S. Bell, MD Lyndonville News May 2000
- POTS Place: A Guide to Postural
Orthostatic Tachycardia Syndrome
- Neurally Mediated Hypotension
(NMH) and Chronic Fatigue Syndrome (CFS) - An interview with Peter Rowe, MD reviewing the first study to connect these
two disorders in adolescents Youth Allied By CFIDS 1995
- Neurally Mediated Hypotension and
its Treatment by the Neurally Mediated Hypotension Working Group, Johns Hopkins Hospital,
January 1997
- Orthostatic Intolerance
Syndromes National Dysautonomia Research Foundation
- Understanding Dysautonomia
National Dysautonomia Research Foundation Youth Network
- Patient Information
from the Syncope Center at Columbia University - Primers on syncope, vasovagal syncope,
tilt-table testing, and tilt-table testing in CFS
- Fainting
and Related Phenomena: A Lay Review by Julian Stewart, MD - Center
for Pediatric Hypotension, New York Medical College
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"Defined simply, (Orthostatic Intolerance) is the
presence of symptoms due to inadequate cerebral perfusion on assuming the
upright posture. The usual symptoms include fatigue, nausea, lightheadedness,
heart palpitations, sweating, and sometimes passing out." ~ David Bell, MD
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Pediatric Reviews for Medical
Professionals:
- Orthostatic Intolerance: An Overview
by Julian M. Stewart, MD, PhD eMedicine Journal, May 14 2002, Volume 3, Number 5
- Dysautonomia and neurocardiogenic
syncope (PDF File) by Karen A. McLeod, MD Curr Opin Cardiol
2001; 16:92-96
- Syncope by Robert Hamilton, MD
- Discusses pathophysiology, triggers, differential diagnosis, workup, and treatment.
eMedicine Journal, October 5 2001, Volume 2, Number 10
General Reviews for Medical Professionals:
- Office Testing Procedure for Orthostatic Intolerance by David S. Bell, MD, FAAP
Lyndonville News, September 2000
- What is Orthostatic Intolerance?"
- Demographics, signs/symptoms, pathophysiology, and treatment. By David Robertson, MD
- Vanderbilt University Autonomic Dysfunction Research Center
- Vasovagal Syncope and
Related Disorders by Richard Sadovsky, MD Am Fam Phys Apr 2000
- Neurally Mediated Syncope
- an overview of research theories, evaluation, diagnosis, and management.
Vanderbilt University Autonomic Dysfunction Center
- Head-up tilt-table
testing: A safe and easy way to assess neurocardiogenic syncope. Includes table
listing some options for treatment of recurrent syncope.
Blair P. Grubb, MD and Sanford Kimmel, MD
Postgraduate Medicine 1998;103(1)
Treatment:
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