title: Stimulant medication and postural orthostatic tachycardia syndrome: a tale of two cases.
abstract: Stimulant medication may mimic the tachycardia of postural orthostatic tachycardia syndrome. Two case histories illustrate how missing the clinical distinction between a primary dysautonomia and a medication effect may have avoidable adverse consequences.
authors.affiliation: Department of Neurology, Mayo Clinic, 4500 San Pablo Rd., Jacksonville, FL, 32224, USA. cheshire@mayo.edu.
authors.forename: William P
authors.initials: WP
authors.lastname: Cheshire
mesh_terms: D000328:Adult; D000697:Central Nervous System Stimulants / Q000009:adverse effects / Q000494:pharmacology; D003951:Diagnostic Errors; D005260:Female; D006339:Heart Rate / Q000187:drug effects; D006801:Humans; D050484:Norepinephrine Plasma Membrane Transport Proteins / Q000037:antagonists & inhibitors; D009765:Obesity; D010645:Phentermine / Q000009:adverse effects*; D054972:Postural Orthostatic Tachycardia Syndrome / Q000139:chemically induced / Q000175:diagnosis*; D018667:Tilt-Table Test
chemical_list: D000697:Central Nervous System Stimulants; D050484:Norepinephrine Plasma Membrane Transport Proteins; D010645:Phentermine
keywords: Central nervous system stimulants; Isoproterenol; Postural orthostatic tachycardia syndrome; Tachycardia; Tilt table test