Main description:

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.

Contents:

Section 1 - Pots, an introduction.- Chapter 1. Introduction.- Chapter 2. Historical background.- Chapter 3. Clinical presentation.- Section 2 - Specialty assessment.- Chapter 4. Diagnostic Criteria for Postural Tachycardia Syndrome: consideration of the clinical features differentiating POTS from other disorders of orthostatic intolerance.- Chapter 5. Pathophysiology and classification of PoTS.- Chapter 6. Cardiological considerations: tests to consider, are they useful and what do they show?.- Chapter 7. Neurological Investigations.- Chapter 8. Autonomic Testing: Autonomic testing: Active Stand and Tilt Table Test.- Chapter 9. Additional autonomic tests.- Chapter 10. Cardiovascular Red Flag symptoms in PoTS.- Chapter 11. Neurological red flags in common neurological conditions associated with PoTS.- Section 3 - Associated conditions.- Chapter 12. Rheumatology in Postural Tachycardia Syndrome.- Chapter 13. Headache in postural tachycardia syndrome.- Chapter 14. Postural Tachycardia Syndrome and Sleep.- Chapter 15. Investigations of Endocrinopathies.- Chapter 16. Postural Tachycardia Syndrome and the Gut.- Chapter 17. Urological considerations.- Chapter 18. Gynaecological considerations.- Chapter 19. Dizziness - the audiovestibular perspective.- Section 4 - Potential linked conditions.- Chapter 20. Is PoTS an autoimmune condition?.- Chapter 21. Mast cell activation syndrome (MCAS).- Chapter 22. Inherited Metabolic Diseases.- Chapter 23. Chronic Fatigue Syndrome.- Chapter 24. Lyme disease.- Section 5 - Therapy.- Chapter 25. Non-pharmacological management (hydration, diet and compression).- Chapter 26. Exercise Guidelines for Postural Tachycardia Syndrome.- Chapter 27. Medication in PoTS; an overview.- Chapter 28. Midodrine.-Chapter 29. Ivabradine.- Chapter 30. Beta blockers.- Chapter 31. Fludrocortisone.- Chapter 32. Octreotide.- Chapter 33. Clonidine.- Chapter 34. Other medications: Desmopressin, Pyridostigmine Erythropoietin and SSRIs.- Chapter 35. Assessing Benefit in PoTS.- Section 6 - Additional therapeutic considerations.- Chapter 36. Clinical Aspects of Paediatric PoTS.- Chapter 37. Pregnancy and Postural Tachycardia Syndrome.- Chapter 38. Anaesthetic Considerations.- Chapter 39. Respiratory specific diagnostic tests and physiotherapy intervention for patients with PoTS presenting with breathlessness.- Chapter 40. Psychological and psychiatric support; When, why and what to do.- Section 7 - Service models.- Chapter 41. PoTS in Primary Care.- Chapter 42. Nurse-led PoTS clinics: A framework.- Chapter 43. A tertiary referral centre for PoTS: The Autonomic Unit at the National Hospital for Neurology and Neurosurgery experience.- Chapter 44. The management of pots in a district general hospital, a personal view.- Chapter 45. A tertiary hospital cardiology model of care.- Section 8 - Patient considerations.- Chapter 46. PoTS from a patient's perspective.- Chapter 47. Living with the Ehlers-Danlos syndromes (EDS) - the patients' perspective