Asociación entre hiperlaxitud articular y síndrome de taquicardia postural ortostática en internos rotativos de medicina de la Universidad Católica de Santiago de Guayaquil del hospital de Especialidades Teodoro Maldonado Carbo.

Abstract

Background: In a study carried out in the United States, in 2017, with 37 patients diagnosed with JHS and visceral manifestations, 62% of the cases had POTS. Objective: Associate orthostatic postural tachycardia syndrome with joint hypermobility syndrome. Methodology: Observational, prospective, cross sectional and analytical study. Sampling was performed by affinity, not probabilistic, not systematic. Through convenience sampling, all medical interns were invited to participate. We asked age, gender, Brighton criteria and POTS clinic with a Likert scale using Google Forms. Then we diagnosed JHS by Beighton Test and Brighton criteria, and performed the "active standing test" to determine if they presented POTS. The same steps were applied to participants who were virtually studied through Whatsapp's video calling platform due to the COVID 19 pandemic. Results: Of the 130 participants, 58 (44.6%) were men and 72 (55.4%) women, the age range was between 22 and 29 years old, with a mean of 23.8 ± 1,088. A total of 57 (43.8%) were diagnosed with joint hypermobility syndrome, of which 37 (65%) were women and 20 (35%) were men. A total of 87 (66.9%) were diagnosed with orthostatic postural tachycardia syndrome, of which 48 (55%) were women and 39 (45%) were men. We use the Spearman correlation test, where a correlation coefficient of 0.094 was obtained, in which we see that there is no association between both variables. Conclusions: Most of the participants presented orthostatic postural tachycardia syndrome. More than half of the positive cases were female. As for the joint hypermobility syndrome, its prevalence was less than half of the population studied, with the female sex also being the predominant one. No association was found between the two syndromes, perhaps due to the fact that the participants were healthy and the influence of external factors or third variables on the results.