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What is postural orthostatic tachycardia syndrome (POTS)?
Postural orthostatic tachycardia syndrome (POTS) is a condition that impacts circulation (blood flow). It entails the autonomic nervous system (which automatically controls and regulates vital bodily capabilities) and sympathetic nervous system (which prompts the struggle or flight response).
POTS is a form of orthostatic intolerance, the development of signs that come on when standing up from a reclining position, and that could be relieved by sitting or lying back down. The primary symptom of an orthostatic intolerance is lightheadedness, fainting and an uncomfortable, speedy improve in heartbeat.
Heart rate and blood pressure work collectively to keep the blood flowing at a healthy pace, no matter what position the body is in. Folks with POTS cannot coordinate the balancing act of blood vessel squeeze and heart rate response. This means the blood pressure cannot be kept steady and stable.
Each case of POTS is different. POTS patients might even see signs come and go over a period of years. In most cases, with adjustments in weight-reduction plan, medicines and physical activity, a person with POTS will see an improvement in quality of life. And POTS symptoms might subside if an underlying cause is found and treated.
There are numerous types of POTS. The commonest are:
Neuropathic POTS: Peripheral denervation (loss of nerve provide) leads to poor blood vessel muscle mass, particularly within the legs and core body.
Hyperadrenergic POTS: Overactivity of the sympathetic nervous system.
Low blood quantity POTS: Reduced blood quantity can lead to POTS. Low blood quantity can cause related signs which will overlap in neuropathic and hyperadrenergic POTS.
Who's at risk for POTS?
The majority of POTS patients are ladies ages 13-50 years old. About 1 to three million individuals endure from POTS in the United States.
Patients may develop POTS after a viral illness, severe infections, medical illness, pregnancy and trauma corresponding to head injury. The condition could develop as aftermath of a significant illness (particularly related with hospitalization and prolonged immobilization).
POTS might develop in those who have had a recent history of mononucleosis.
Folks with sure autoimmune conditions such as Sjogren’s syndrome and celiac illness might be at higher risk. Sjogren’s might be evaluated by blood testing, dry eye test, lip biopsy and rheumatology consult. Celiac illness might be tested by blood work, gastroenterology consult and if wanted biopsies of the small intestines.
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