Postural Orthostatic Tachycardia Syndrome (POTS): A critical assessment
| Autor: | Richard Sutton, Win Kuang Shen, David G. Benditt, Brian Olshansky, James Muldowney, Suzy Feigofsky, Hemal M. Nayak, Artur Fedorowski, Tae Hwan Chung, Christopher H. Gibbons, Julian M. Stewart, Hugh Calkins, David S. Cannom |
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| Rok vydání: | 2020 |
| Předmět: |
Tachycardia
medicine.medical_specialty business.industry food and beverages Orthostatic intolerance Disease 030204 cardiovascular system & hematology medicine.disease Article 03 medical and health sciences 0302 clinical medicine Physical medicine and rehabilitation Postural Orthostatic Tachycardia Syndrome medicine Critical assessment 030212 general & internal medicine Orthostatic tachycardia medicine.symptom Cardiology and Cardiovascular Medicine business |
| Zdroj: | Prog Cardiovasc Dis |
| ISSN: | 0033-0620 |
| Popis: | Although diagnostic criteria have been developed characterizing postural orthostatic tachycardia syndrome (POTS), no single set of criteria is universally accepted. Furthermore, there are gaps in the present criteria used to identify individuals who have this condition. The reproducibility of the physiological findings, the relationship of symptoms to physiological findings, the presence of symptoms alone without any physiological findings and the response to various interventions confuse rather than clarify this condition. As many disease entities can be confused with POTS, it becomes critical to identify what this syndrome is. What appears to be POTS may be an underlying condition that requires specific therapy. POTS is not simply orthostatic intolerance and symptoms or intermittent orthostatic tachycardia but the syndrome needs to be characterized over time and with reproducibility. Here we address critical issues regarding the pathophysiology and diagnosis of POTS in an attempt to arrive at a rational approach to categorize the syndrome with the hope that it may help both better identify individuals and better understand approaches to therapy. |
| Databáze: | OpenAIRE |
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