Postural Tachycardia Syndrome (POTS)
Original Editors - Allison Lesousky from Bellarmine University's Pathophysiology of Complex Patient Problems project.
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Definition/Description[edit | edit source]
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Prevalence[edit | edit source]
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Characteristics/Clinical Presentation[edit | edit source]
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Associated Co-morbidities[edit | edit source]
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Medications[edit | edit source]
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Diagnostic Tests/Lab Tests/Lab Values[edit | edit source]
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Etiology/Causes[edit | edit source]
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Systemic Involvement[edit | edit source]
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Medical Management (current best evidence)[edit | edit source]
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Physical Therapy Management (current best evidence)[edit | edit source]
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Alternative/Holistic Management (current best evidence)[edit | edit source]
All of these methods should be supervised or consulted with the physician first upon starting, due to the chance of injury or side effects.
• Butcher’s Broom: It is a vasoconstrictor that reduces capillary permeability. May lessen orthostatic hypotension in some patients. Studies have shown that butcher’s broom can alleviate the worsening symptoms in hot environments and does not cause supine hypertension.
• Licorice Root: Has been used for a variety of disorders throughout history. It can be used sometimes as an alternative to Florinef (a fludocortisone).
• Magnesium: Patients who have taken magnesium daily for a few weeks, reported a decrease in arrhythmias. Magnesium deficiency can also cause several of the symptoms associated with POTS.
• A sock filled with warm rice: The rice has the ability to hold heat and provide long-lasting relief of headaches, which can accompany dysautonomia.
• Wearing ankle weights: This compels the lower extremity muscles to work harder, in turn forcing the venous pooling blood back into the upper body. (P)
Differential Diagnosis[edit | edit source]
• Inappropriate Sinus Tachycardia Syndrome
• Chronic Fatigue Syndrome (A)
• Pheochromocytoma
• Neurally Mediated Syncope (R)
Case Reports/ Case Studies[edit | edit source]
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Resources
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• National Dysautonomia Research Foundation (NDRF) http://www.ndrf.org/
• Dysautonomia Youth of America, Inc. (DYNA) http://www.dynakids.org/
• POTS Place: A Guide to Postural Orthostatic Tachycardia Syndrome (DINET) http://www.dinet.org/
• NINDS Postural Tachycardia Syndrome Information Page http://www.ninds.nih.gov/disorders/postural_tachycardia_syndrome/postural_tachycardia_syndrome.htm
• Chronic Fatigue Immune Dysfunction Syndrome (CFIDS) Association http://www.cfids.org/
• American Autonomic Society (AAS) http://www.americanautonomicsociety.org/
• North American Society for Pacing and Electrophysiology (NASPE) http://www.hrsonline.org/
• Vanderbilt Autonomic Center http://www.mc.vanderbilt.edu/root/vumc.php?site=adc
• The Mayo Clinic, Rochester, MN http://www.mayo.edu/
• The American Association for Chronic Fatigue Syndrome (AACFS) http://www.cfids.org/
• New Jersey CFS Center http://njms.umdnj.edu/centers_institutes/pain_fatigue/
• CDC (Centers for Disease Control and Prevention): CFS Home Page http://www.cdc.gov/cfs/
Recent Related Research (from Pubmed)[edit | edit source]
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References[edit | edit source]
see adding references tutorial.
1. Agarwal A, Garg R, Ritch A, Sarkar P. Postural orthostatic tachycardia syndrome. Postgrad Med J. 2007 Mar 20;83:478-480.
2. Grubb B, Kanjwal Y, Kosinki D. The postural tachycardia syndrome: a concise guide to diagnosis and management. J Cardiovasc Electrophysiol. 2006 Jan;17:1-5.
3. POTS Place: A Guide to Postural Orthostatic Tachycardia Syndrome [Internet]. Brooklyn, MI: Winter 2003. Available from: http://www.dinet.org/pots_an_overview.htm
4. Raj S. The postural tachycardia syndrome (POTS): pathophysiology, diagnosis and management. IPEJ. 2006;6(2):84-99.
