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- Provides expert, multi-disciplinary guidance on this rarely covered topic
- Reviews multidisciplinary management of the condition in light of the varying diagnoses
- Contains practical clinical instruction including case-based learning and illustrative algorithms
This book describes the varying clinical manifestations of postural tachycardia syndrome (PoTS) and provides a robust yet practical set of clinical tools for those managing patients suffering with this syndrome. Guidance is provided by a range of disciplines relevant to PoTS including general and specialist assessments, associated conditions, diagnostic considerations, therapy and service models. Postural Tachycardia Syndrome: A Concise and Practical Guide to Management and Associated Conditions presents the scientific background and practical information for the busy medical professional, illustrating key features with care-based materials to help them manage this condition, which can be a challenge for patients and clinicians alike. Table of ContentsSection 1 - Pots, an Introduction- 1. Introduction
- 2. Historical background
- 3. Clinical presentation
Section 2 - Specialty assessment- 4. Diagnostic Criteria for Postural Tachycardia Syndrome: consideration of the clinical features differentiating POTS from other disorders of orthostatic intolerance
- 5. Pathophysiology and classification of PoTS
- 6. Cardiological considerations: tests to consider, are they useful and what do they show?
- 7. Neurological Investigations
- 8. Autonomic Testing: Autonomic testing: Active Stand and Tilt Table Test
- 9. Additional autonomic tests
- 10. Cardiovascular Red Flag symptoms in PoTS
- 11. Neurological red flags in common neurological conditions associated with PoTS
Section 3 - Associated conditions- 12. Rheumatology in Postural Tachycardia Syndrome
- 13. Headache in postural tachycardia syndrome
- 14. Postural Tachycardia Syndrome and Sleep
- 15. Investigations of Endocrinopathies
- 16. Postural Tachycardia Syndrome and the Gut
- 17. Urological considerations
- 18. Gynaecological considerations
- 19. Dizziness - the audiovestibular perspective
Section 4 - Potential linked conditions- 20. Is PoTS an autoimmune condition?
- 21. Mast cell activation syndrome (MCAS)
- 22. Inherited Metabolic Diseases
- 23. Chronic Fatigue Syndrome
- 24. Lyme disease
Section 5 - Therapy- 25. Non-pharmacological management (hydration, diet and compression)
- 26. Exercise Guidelines for Postural Tachycardia Syndrome
- 27. Medication in PoTS; an overview
- 28. Midodrine
- 29. Ivabradine
- 30. Beta blockers
- 31. Fludrocortisone
- 32. Octreotide
- 33. Clonidine
- 34. Other medications: Desmopressin, Pyridostigmine Erythropoietin and SSRIs
- 35. Assessing Benefit in PoTS
Section 6 - Additional therapeutic considerations- 36. Clinical Aspects of Paediatric PoTS
- 37. Pregnancy and Postural Tachycardia Syndrome
- 38. Anaesthetic Considerations
- 39. Respiratory specific diagnostic tests and physiotherapy intervention for patients with PoTS presenting with breathlessness
- 40. Psychological and psychiatric support; When, why and what to do
Section 7 - Service models- 41. PoTS in Primary Care
- 42. Nurse-led PoTS clinics: A framework
- 43. A tertiary referral centre for PoTS: The Autonomic Unit at the National Hospital for Neurology and Neurosurgery experience
- 44. The management of pots in a district general hospital, a personal view
- 45. A tertiary hospital cardiology model of care
Section 8 - Patient considerations- 46. PoTS from a patient's perspective
- 47. Living with the Ehlers-Danlos syndromes (EDS) - the patients' perspective
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