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Module summary:

Professor Lesley Kavi answers questions on the diagnosis and management of postural tachycardia syndrome, including distinguishing it from orthostatic hypotension and the role of long Covid.

 

Author:

Professor Lesley Kavi is a recently retired GP and trustee and chair of the charity PoTS UK

 

Date published: 06.01.23

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Reviews

  • Very imformative

  • typical pre-syncope symptoms that develop in the upright position and are relieved by lying down. These symptoms should have been present for more than three months and be associated with a persistent tachycardia on standing or head-up tilt table test\n\nteenage and young female adults, Ehlers-Danlos Syndrome & mast cell activation syndrome (MCAS).2\n\nchest pain, headaches, poor sleep, exercise intolerance, cognitive impairment (brain fog), gastrointestinal symptoms and peripheral acrocyanosis (purple puffy feet and hands when dependent\n\nIn the UK, the mean time to diagnosis is seven years, and before diagnosis, patients are commonly given a psychiatric label such as anxiety, depression or panic disorder to account for their symptoms\n\nA manual or battery-operated sphygmomanometer can be used to repeatedly record heart rate and blood pressure while supine then for a minimum of 3 and up to 10 minutes while standing\n\nincrease blood volume, blunt the tachycardia, minimise sympathetic tone and increase vasoconstriction.\n\nUnderlying cause ; Approximately 50\\% of patients have partial peripheral sympathetic denervation of blood vessels especially in the legs; the damaged nerves mean that blood vessels are unable to constrict adequately. This results in pooling of blood and low blood volume in relation to blood vessel capacity, leading to reduced stroke volume and a compensatory tachycardia to maintain cardiac output and blood pressure.

  • Great learing opportunity

  • Very informative.

  • Thanks

  • effective and well summarised

  • Interesting course

  • Interesting

  • good module

  • Good summary of a confusing condition often mistaken for anxiety

  • Informative article

  • good

  • highly recommended

  • Very informative

  • Excellent module

  • Useful

  • excellent

  • VERY HELPFUL AND TO THE POINT

  • A clear and helpful summary for initial diagnosis

  • Good\n

  • good\n

  • Interesting and useful module

  • Great summary on POTS

  • Useful learning

  • very interesting

  • excellent

  • Great

  • informative topic and question

  • great

  • excellent

  • Good module

  • Detailed description

  • Good

  • Nice presentation

  • Excellent

  • concise thorough expanation

  • none

  • Good information &knowledge about Pots

  • really helpful overview of complex condition and presentation. not uncommon. thanks

  • Very informative module on a rare comdition, often missed and misdiagnosed.

  • Very interesting module.

  • Excellent e-learning module .

  • VERY INFORMATIVE MODULE.

  • Very informative

  • good

  • Very interesting

  • It is my first time to learn that the PoTS could be an autoimmune condition.

  • The tablet with the drugs and advice on each was particularly helpful and has prepared me for when the young lady with POTS returns to see me to discuss how the fludrocortisone has helped her. It states to monitor potassium which I will check. This is a change in my practice as I wouldn\\\\\'t have checked it before reading this.

  • ace course. thank you

  • Useful information given.

  • Very useful knowledge.Excellent handling of test procedure

  • Excellent

  • great module\n

  • Excellent updating through provision of detailed information and guidance

  • most managed without medication

  • Very interesting subject

  • A very good learning module

  • Good one.

  • good

  • very good

  • Very useful module

  • excelent

  • Great module

  • Excellent module

  • Good