Canadian Cardiovascular Society Position Statement on Postural Orthostatic Tachycardia Syndrome (POTS) and Related Disorders of Chronic Orthostatic Intolerance

The Canadian Journal of Cardiology
Satish R RajRobert S Sheldon

Abstract

The current definition of postural orthostatic tachycardia syndrome (POTS) dates back to a small case series of patients with a subacute illness who presented with excessive orthostatic tachycardia and orthostatic intolerance, in the absence of another recognized disease. Conventional POTS criteria require an excessive orthostatic tachycardia in the absence of substantial orthostatic hypotension, and predominant symptoms of orthostatic intolerance, worse with upright posture and better with recumbence. POTS is a heterogeneous syndrome with likely several underlying pathophysiological processes, and not a specific disease. The primary panel for this Canadian Cardiovascular Society position statement sought to provide a contemporary update of the best evidence for the evaluation and treatment of POTS. We performed a systemic review of evidence for the evaluation of treatment of POTS using the Grading of Recommendations, Assessment, Development, and Evaluation (GRADE) methodology, and developed recommendations on the basis of the Canadian Cardiovascular Society approach to position statements. One identified problem was that numerous patients who did not meet criteria for POTS would still be given that diagnoses by providers to va...Continue Reading

Citations

Nov 17, 2020·Cardiology in the Young·Kate M Bourne, Satish R Raj
Jan 9, 2021·Current Oncology Reports·Alexandra E TengEric H Yang
Jan 1, 2021·European Journal of Neurology : the Official Journal of the European Federation of Neurological Societies·Belén RodriguezWerner J Z'Graggen
Feb 8, 2021·Clinical Autonomic Research : Official Journal of the Clinical Autonomic Research Society·Juliette HallSatish R Raj
Jan 23, 2021·Journal of the American College of Cardiology·David G Benditt, Richard Sutton
Jan 23, 2021·Journal of the American College of Cardiology·Kate M BourneSatish R Raj
Feb 20, 2021·Journal of the American College of Cardiology·Satish R Raj, Robert S Sheldon
Mar 11, 2021·Clinical Autonomic Research : Official Journal of the Clinical Autonomic Research Society·Emily C SmithAlfredo Gamboa
Mar 15, 2021·Autonomic Neuroscience : Basic & Clinical·Marie-Claire Seeley, Dennis H Lau
Mar 20, 2021·Clinical Autonomic Research : Official Journal of the Clinical Autonomic Research Society·Satish R RajUNKNOWN American Autonomic Society
Apr 2, 2021·Annals of the American Thoracic Society·Rubabin ToobaAdriano R Tonelli
May 1, 2021·Journal of the American College of Cardiology·Emily M GarlandSatish R Raj
Jul 8, 2021·Journal of Primary Care & Community Health·Dennis M BierleRavindra Ganesh
Aug 14, 2021·Diabetes & Metabolic Syndrome·A V Raveendran, Anoop Misra
Aug 17, 2021·Journal of the American Heart Association·Ritsuko KohnoDavid G Benditt
Aug 26, 2021·Occupational Therapy in Health Care·Alexa Herrera, Joanna Behm

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