Postural Tachycardia Syndrome

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.

Auteur

Dr Nicholas Gall qualified in 1993 from Guy's and St Thomas' Hospitals. He trained in General Internal Medicine and Cardiology and is a Consultant Cardiologist (electrophysiology) at King's College Hospital and an Honorary Senior Lecturer at King's College. He has a particular interest in loss of consciousness and autonomic conditions including PoTS: Neuro-cardiology. He has published widely, has an active PoTS research program and speaks at National and International conferences. With Prof Kavi, he developed the PoTS masterclass and has run the London Syncope conference since 2010. He is a Patron of PoTS-UK and medical adviser to STARS.

Dr Lesley Kavi obtained her medical degree at Glasgow University. She is currently working as a GP in Solihull and is Visiting Professor at Birmingham City University where she teaches on the Advanced Practice MSc. She was appointed as RCGP Syncope Clinical Champion in 2019 and developed an online open access toolkit for use by clinicians in primary care. In 2011 Lesley became a trustee of PoTS UK, the national charity that supports patients with postural tachycardia syndrome. In 2017 she took on the role of chairperson. Her special interests include PoTS, syncope and women's health.

Dr Melvin Lobo is a Consultant Cardiovascular Physician and Director of the Bart's Blood Pressure Clinic based in the Barts Heart Centre and the William Harvey Research Institute. He has a specialist interest in blood pressure disorders of all types, PoTS and autonomic control of the circulation. He is an accredited Clinical Hypertension Specialist of the European Society of Hypertension (ESH) and British Hypertension Society. Professor Lobo has participated in numerous clinical trials, particularly in the field of novel device therapy of hypertension. His research work has been featured on television and in the national press on numerous occasions.

Contenu
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