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.
Part I - Introduction.- POTS an introduction.- What is it?.- Historical background.- Clinical presentation.- Specialties where patients may be seen.- Part II - Speciality Assessment.- Cardiological and neurological considerations.- Diagnostic criteria (not just a heart rate issue).- Pathophysiology and classification.- Tests to consider, are they useful, what do they show.- Cardiological CPET, echo, holter etc.-Neurological MRI, nerve conduction studies.- Autonomic.- The simple active stand / tilt.- Full autonomic function tests.- Red flag symptoms.- Cardiology.- Neurology MS, myopathy, epilepsy.- Overlap conditions (mitral valve prolapse, IST).- Associated neurological conditions.- Migraine.- Sleep disturbance.- Part III - Associated Conditions.- Rheumatology.- Overlap with hypermobility conditions.- New consensus guidance on hypermobility.- When toconsider serious hypermobility.- Whl³+