Korean J Pain.  2013 Jul;26(3):303-306. 10.3344/kjp.2013.26.3.303.

A Case of Postural Orthostatic Tachycardia Syndrome Associated with Migraine and Fibromyalgia

• Yun DJ
• Choi HN
• Oh GS

• KMID: 2074034
• DOI: http://doi.org/10.3344/kjp.2013.26.3.303

Abstract

Postural orthostatic tachycardia syndrome (POTS) refers to the presence of orthostatic intolerance with a heart rate (HR) increment of 30 beats per minute (bpm) or an absolute HR of 120 bpm or more. There are sporadic reports of the autonomic nervous system dysfunction in migraine and fibromyalgia. We report a case of POTS associated with migraine and fibromyalgia. The patient was managed with multidisciplinary therapies involving medication, education, and exercise which resulted in symptomatic improvement. We also review the literature on the association between POTS, migraine, and fibromyalgia.

Keyword

fibromyalgia; migraine; postural orthostatic tachycardia syndrome

MeSH Terms

Autonomic Nervous System
Fibromyalgia
Heart Rate
Humans
Migraine Disorders
Mustard Compounds
Orthostatic Intolerance
Postural Orthostatic Tachycardia Syndrome
Mustard Compounds

Figure

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  Fig. 1 Pre-and post-treatment heart rate responses to active standing test. HR: heart rate, bpm: beats per minute, Tx: treatment.

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  Fig. 2 The head-up tilt table test with an isoproterenol challenge. SBP/DBP: systolic blood pressure/diastolic blood pressure, HR: heart rate, bpm: beats per minute.

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