Review

Evaluating and managing postural tachycardia syndrome

Lucy Y. Lei, Derek S. Chew, MD, Robert S. Sheldon, MD, PhD and Satish R. Raj, MD, MSCI, FRCPC
Cleveland Clinic Journal of Medicine May 2019, 86 (5) 333-344; DOI: https://doi.org/10.3949/ccjm.86a.18002

ABSTRACT

Postural tachycardia syndrome (POTS) is a disorder of the autonomic nervous system with many possible causes, characterized by an unexplained increase in heartbeat without change in blood pressure upon standing. Associated cardiac and noncardiac symptoms can severely affect quality of life. Therapy, using a combined approach of diet and lifestyle changes, plus judicious use of medications if needed, can usually improve symptoms and function.

Footnotes

  • Dr. Raj has disclosed consulting for Abbott Laboratories, Boston Scientific Corporation, GE Health-care, and Lundbeck, and serving on the steering committee for the ADMIRE-ICD trial, funded by GE Healthcare.

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  1. Lucy Y. Lei
  1. Department of Cardiac Sciences, Libin Cardiovascular Institute of Alberta, University of Calgary, Calgary, AB, Canada
  1. Derek S. Chew, MD
  1. Department of Cardiac Sciences, Libin Cardiovascular Institute of Alberta, University of Calgary, Calgary, AB, Canada
  1. Robert S. Sheldon, MD, PhD
  1. Department of Cardiac Sciences, Libin Cardiovascular Institute of Alberta, University of Calgary, Calgary, AB, Canada
  1. Satish R. Raj, MD, MSCI, FRCPC⇑
  1. Department of Cardiac Sciences, Libin Cardiovascular Institute of Alberta, University of Calgary, Calgary, AB, Canada
  2. Autonomic Dysfunction Center, Division of Clinical Pharmacology, Department of Medicine, Vanderbilt University School of Medicine, Nashville, TN
  1. ADDRESS:
    Satish R. Raj, MD, MSCI, FRCPC, Department of Cardiac Sciences, Libin Cardiovascular Institute of Alberta, University of Calgary, GAC70 HRIC Building, 3280 Hospital Drive NW, Calgary, AB T2N 4Z6, Canada; satish.raj{at}ucalgary.ca

ABSTRACT

Postural tachycardia syndrome (POTS) is a disorder of the autonomic nervous system with many possible causes, characterized by an unexplained increase in heartbeat without change in blood pressure upon standing. Associated cardiac and noncardiac symptoms can severely affect quality of life. Therapy, using a combined approach of diet and lifestyle changes, plus judicious use of medications if needed, can usually improve symptoms and function.

Footnotes

  • Dr. Raj has disclosed consulting for Abbott Laboratories, Boston Scientific Corporation, GE Health-care, and Lundbeck, and serving on the steering committee for the ADMIRE-ICD trial, funded by GE Healthcare.

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