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         Postural Orthostatic Tachycardia Syndrome:     more detail
  1. Postural Orthostatic Tachycardia Syndrome: Dysautonomia, Orthostatic Intolerance, Supine Position,Tachycardia, Cerebral Blood Flow, Orthostatic Hypotension

1. Postural Orthostatic Tachycardia Syndrome
A definition of POTS and its relation to Chronic Fatigue Syndrome and the pathophysiology.
http://www.nymc.edu/fhp/centers/syncope/POTS.htm
Contents:
  • POTS Defined POTS and CFS Pathophysiology of POTS Return to Home Page
  • POTS Defined
    Patterns of heart rate and blood pressure variation are shown in the figure and are from our paper which was the first to directly discuss POTS in the pediatric population. goto top
    POTS and CFS
    POTS has been proposed as a mechanism for symptoms of the Chronic Fatigue Syndrome in a series of adult patients. POTS and CFS may share a common pathophysiology particularly in the young . Recently, a review of patients with delayed orthostatic hypotension (delayed POTS) demonstrated a high degree of association with chronic fatigue. Our preliminary data have shown that POTS physiology underlies orthostatic intolerance in the large majority of adolescents with the chronic fatigue syndrome (CFS). In those patients we demonstrated loss of heart rate variability consistent with vagal withdrawal, increased blood pressure variability consistent with enhanced modulation of sympathetic tone, and impaired baroreflex with a phase shift causing wide blood pressure swings uncompensated by compensatory HR changes. Preliminary vascular data suggest that these autonomic findings are associated with changes in arterial and venous properties of the lower limbs during orthostasis causing fluid collection in excess of ordinary "pooling" observed in control patients.

    2. Postural Orthostatic Tachycardia Syndrome, Patient's Report
    Patient's report on causes, symptoms, and treatment.Category Health Conditions and Diseases......postural orthostatic tachycardia syndrome. Patient's report on causes,symptoms, and treatment. This Web page represents a patient's
    http://home.att.net/~potsweb/POTS.html
    Postural Orthostatic Tachycardia Syndrome Patient's report on causes, symptoms, and treatment This Web page represents a patient's report on POTS and related issues. Patients should seek professional medical help and only use the contents of this page as general background information. News! - The Center for Disease Control has developed a blood test for Chronic Fatigue Syndrome using microarrays chips Also, Canada has an important new case definition for CFS full pdf text Patients already diagnosed with chronic orthostatic intolerance, POTS or COI, please note the National Institute of Health is conducting a new study and needs blood samples. Tachycardia means an extremely rapid heart rate, usually signified by a pulse rate of over 100 beats per minute (bpm). Postural Orthostatic Tachycardia Syndrome (POTS) is clinically defined as a heart rate increase of 30 bpm or more from the supine (laying down) to the standing position within ten minutes or less. Patients with florid POT S develop tachycardia over 120 bpm within 5 minutes or less. Some patients experience supine tachycardia, which is usually transient in nature and often accompanied by sleep disturbances. Studies show that about 75% of POTS patients are women and that a genetic tendency to develop POTS is usually transferred from mother to daughter. For a correct diagnosis of POTS there must be an absence of any other known cause of tachycardia, such as a specific heart

    3. POTS Place: A Guide To Postural Orthostatic Tachycardia Syndrome
    Information on postural orthostatic tachycardia syndrome (POTS).
    http://potsplace.com
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    POTS: An Overview

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    POTS Place: A Guide to Postural Orthostatic Tachycardia Syndrome
    Updated: March 2003 What's New?
    WELCOME!
    This web site is about a disorder called postural orthostatic tachycardia syndrome (POTS). This disorder is characterized by the body's inability to make the necessary adjustments to counteract gravity when standing up. The defining symptom of POTS is an excessive heart rate increment upon standing. However, as you will discover, there are a multitude of other symptoms that often accompany this syndrome. As such, POTS can be a difficult disorder to detect and understand. This site provides an overview of POTS and contains sections on symptoms, mechanisms, causes, tests, myths, links, research and newsletters. There are sections that provide the reader with information on what may help or hinder POTS patients. Personal stories written by people who have been affected by POTS are also included in this site. Support for POTS patients and caregivers is available through the Meet Others Program. Specific information can be located by using the "search" link, available at the bottom of the links to the left of each page. When possible, cited information has been linked to the corresponding web site or Medline abstract. These links can be found in the reference section at the bottom of each page.

    4. Postural Orthostatic Tachycardia Syndrome
    F G H I J K L M N O P Q R S T U V W X Y Z . postural orthostatic tachycardia syndrome
    http://www.ability.org.uk/Postural_Orthostatic_Tachycardia_Syndrome.html
    "see the ability, not the disability" You to can help support the Ability Project by: Our Aims ... Z Postural Orthostatic Tachycardia Syndrome Healthline Questions and Answers Postural Orthostatic Tachycardia Postural Orthostatic Tachycardia Syndrome - patient's report on causes, symptoms, and treatment. Webmaster . Site Design by Ability "see the ability, not the disability" Acknowledgments

    5. The Pediatric Network For Chronic Fatigue Syndrome, Fibromyalgia, And Orthostati
    Resources for all concerned with pediatric chronic fatigue syndrome, fibromyalgia, neurally mediated hypotension, postural orthostatic tachycardia syndrome, and related conditions.
    http://www.pediatricnetwork.org
    for Chronic Fatigue Syndrome, Fibromyalgia, and Orthostatic Intolerance Home News Forum Contribute ... Help
    Please Support Our Work: Donate : Learn how you can contribute through direct gifts, shopping at Amazon.com, or applying for a VISA card Shop Amazon.com through our store . Explore products like these: Search Now: Forum Hot Topics Stay Connected! Welcome to this network for parents, youth, and professionals concerned with chronic fatigue syndrome, fibromyalgia, and orthostatic intolerance. See our live chat announcements below for opportunities to "talk" with youth or parents about your medical, educational, and coping questions. Share our brochure to help others become a part of this network. You will need the free Acrobat Reader software to view and print the brochure Receive our monthly newsletter by registering and posting in the forum . We will e-mail the newsletter to the address you provide during forum registration. Participate in forum discussions to hear about others' medical and school experiences, and to learn of opportunities to volunteer, participate in studies, or meet other families. Would you like more people to know about pediatric CFS, FM, and OI?

    6. POTS Place: A Guide To Postural Orthostatic Tachycardia Syndrome
    POTS Place A Guide to postural orthostatic tachycardia syndrome Updated February 2003 This web site is about a disorder called postural orthostatic tachycardia syndrome (POTS).
    http://www.potsplace.com/
    Home
    POTS: An Overview

    Symptoms

    Mechanisms
    ...
    Search
    POTS Place: A Guide to Postural Orthostatic Tachycardia Syndrome
    Updated: March 2003 What's New?
    WELCOME!
    This web site is about a disorder called postural orthostatic tachycardia syndrome (POTS). This disorder is characterized by the body's inability to make the necessary adjustments to counteract gravity when standing up. The defining symptom of POTS is an excessive heart rate increment upon standing. However, as you will discover, there are a multitude of other symptoms that often accompany this syndrome. As such, POTS can be a difficult disorder to detect and understand. This site provides an overview of POTS and contains sections on symptoms, mechanisms, causes, tests, myths, links, research and newsletters. There are sections that provide the reader with information on what may help or hinder POTS patients. Personal stories written by people who have been affected by POTS are also included in this site. Support for POTS patients and caregivers is available through the Meet Others Program. Specific information can be located by using the "search" link, available at the bottom of the links to the left of each page. When possible, cited information has been linked to the corresponding web site or Medline abstract. These links can be found in the reference section at the bottom of each page.

    7. Pots: An Overview
    POTS Place A Guide to postural orthostatic tachycardia syndrome POTS An overview. Posturalorthostatic tachycardia syndrome (POTS) is one of these disorders.
    http://potsplace.com/pots_an_overview.htm
    Home
    POTS: An Overview

    Symptoms

    Mechanisms
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    POTS Place: A Guide to Postural Orthostatic Tachycardia Syndrome

    POTS: An overview
    Standing up is something most of us take for granted; we've been doing it since childhood. Our bodies automatically adjust to the pull of gravity by increasing vascular tone, heart rate and cardiac output. Blood vessels contract, heart rates generally increase 10-15 beats per minute and our systolic blood pressure usually rises 10 mm Hg with only a slight increase in diastolic pressure . Our bodies operate in perfect homeostasis and we stand up with little effort. However, the simple act of standing up can be a challenge for some people. There are disorders that affect the bodies ability to appropriately adjust to the pull of gravity. These disorders are referred to as orthostatic intolerance. Postural orthostatic tachycardia syndrome (POTS) is one of these disorders. Postural orthostatic tachycardia syndrome is defined by excessive heart rate increments upon upright posture. A person with POTS will experience heart rates that increase 30 beats or more per minute upon standing and/or increase to 120 beats or more per minute upon standing (Grubb, 2000). These exaggerated heart rate increases usually occur within 10 minutes of rising. While the hallmark of this disorder is an excessive heart rate increment upon standing, patients often exhibit numerous symptoms of

    8. Postural Orthostatic Tachycardia Syndrome; Treatment, Prevention, Cure
    postural orthostatic tachycardia syndrome. Links to websites which may include treatment, cures, diagnosis, prevention,
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    9. HealthlinkUSA Postural Orthostatic Tachycardia Syndrome Links
    more. FindWhat. Click here for page 1 of Postural Orthostatic TachycardiaSyndrome information from the HealthlinkUSA directory.
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    10. Postural Orthostatic Tachycardia Syndrome; Treatment, Prevention, Cure
    postural orthostatic tachycardia syndromeSearch information from manyof the best postural orthostatic tachycardia syndrome health sites.
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    11. Chemical Survivors' Foundation: Health/Postural Orthostatic Tachycardia Syndrome
    Home Health postural orthostatic tachycardia syndrome. Resources POTSPlace A Guide to postural orthostatic tachycardia syndrome (PotsPlace).
    http://www.chemical-survivors.com/Health/Postural_Orthostatic_Tachycardia_Syndro
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    12. Postural Orthostatic Tachycardia Syndrome
    Keywords Find it Here. postural orthostatic tachycardia syndrome. POTS Place Information on postural orthostatic tachycardia syndrome (POTS).
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    POTS Place Information on postural orthostatic tachycardia syndrome (POTS).
    Postural Orthostatic Tachycardia Syndrome
    eMedicine - Orthostatic Intolerance: An Overview : Article by Julian M Stewart, MD, PhD Orthostatic Intolerance: An Overview - Orthostatic intolerance is a confusing topic. Some of the confusion originates from recent appreciation of the condition's clinical variants, some from our ....
    What is Orthostatic Intolerance? An article about orthostatic tachycardia syndrome (POTS). What it is, the prognosis as well as all the names used to refer to this disorder.
    Postural Orthostatic Tachycardia Syndrome Resources on the Internet Orthostatic Intolerance - An article written by David Robertson, MD explaining this disorder. A list of alternate names which could be used for this or similar disorders is enclosed.

    13. Heart Diseases-Conditions-Disorders
    Mitral Valve Prolapse Myocarditis Pericarditis Peripartum Cardiomyopathy postural orthostatic tachycardia syndrome Rheumatic Fever
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    14. Info On Dysautonomia, Postural Orthostatic Tachycardia Syndrome (POTS), And Neur
    Dysautonomia includes several disorders, but I only have two POTS (PosturalOrthostatic Tachycardia Syndrome) and NCS (Neurocardiogenic Syncope).
    http://janet.braystudio.com/fainting/
    National Dysautonomia
    Research Foundation
    Chris Calder's Website
    on POTS, NMH, and CFS
    ...
    (Chronic Fatigue Syndrome)

    Hi. My name is Janet Bray, and I have Dysautonomia, a malfunction of the autonomic nervous system. Dysautonomia includes several disorders, but I only have two: POTS (Postural Orthostatic Tachycardia Syndrome) and NCS (Neurocardiogenic Syncope). The results of this malfuction cause my heart to race when I stand still, and if I stand still long enough, I will pass out. Unfortunately, not much is known about dysautonomia. However, research is ongoing and several doctors in the United States have taken a special interest in dysautonomia. If you need more general information on dysautonomic disorders, please visit the National Dysautonomia Research Foundation . NDRF also has a message forum that is active. If you have questions, please feel free to contact me at janet@braystudio.com

    15. Dysautonomia Information
    POTS postural orthostatic tachycardia syndrome. POTS is a form ofOrthostatic Intolerance. Literally, POTS means that the heart
    http://janet.braystudio.com/fainting/pots.htm
    National Dysautonomia
    Research Foundation
    Chris Calder's Website
    on POTS, NMH, and CFS
    ...
    (Chronic Fatigue Syndrome)
    POTS - Postural Orthostatic Tachycardia Syndrome
    POTS is a form of Orthostatic Intolerance. Literally, POTS means that the heart beats too fast when the body is still, depending on the posture. POTS is diagnosed with a Tilt Table Test . A person can be said to have POTS if the heart rate increases more than 30 bpm upon changing from a supine (laying) position to an upright position, or if the heart rate is more than 120 bpm within five minutes of being upright. There are many theories about the cause of POTS. The primary known reason is that the sympathetic nervous system misfires and the beta receptors in the nerves are hypersensitive. In layman's terms, here's what happens to a normal person versus a person with POTS. When a normal person stands up, about 700 ml of blood is redistributed to the legs and abdomen by our old friend gravity. The body responds to this redistribution by releasing epinephrine (adrenaline) to force the veins in the legs to constrict and push the blood back up into the circulation of the body, and thus the head. The heart rate increases a bit to compensate for the blood pressure loss from the redistribution, but after a minute or two, the heart rate slows and the blood pressure stabilizes.

    16. Postural Orthostatic Tachycardia
    syndrome that can be associated with MVP and causes an increase in heartrate of 30bpm upon standing known as postural orthostatic tachycardia syndrome(POTS).
    http://www.medhelp.org/forums/cardio/messages/33437a.html
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    Questions in The Heart Forum are being answered by doctors from The Cleveland Clinic Heart Center , consistently ranked the #1 Heart Center in America. Subject: Postural Orthostatic Tachycardia
    Topic Area: Tachycardia
    Forum: The Heart Forum
    Question Posted By: NBCT on Friday, May 24, 2002
    Hi, I have been using this site for almost two years, finding it while attempting to get answers regarding an onset of palpitations, dizziness, fatigue, near syncope, etc. After the usual array of tests I was told I had bileaflet mitral valve prolapse of a moderate degree and 2+ regurgitation. I am no longer fearful of every heartbeat and have learned to cope with the days of relentless skips.
    I have found this site to be very helpful, reassuring, and a place I would come to almost everyday just to read the posts and know I was not alone when all this first started. Thank you to the doctors who provide insight with their knowledge, and to the many who post comments, like Hankstar,Arthur,Deb, who truly show they care and have great information to share. I do have a question concerning the syndrome that can be associated with MVP and causes an increase in heartrate of >30 bpm upon standing known as Postural Orthostatic Tachycardia Syndrome(POTS).

    17. Postural Orthostatic Tachycardia Syndrome And CFS
    postural orthostatic tachycardia syndrome and Chronic Fatigue Syndrome.A patient's and treatment. postural orthostatic tachycardia syndrome.
    http://www.cfsresearch.org/cfs/research/abnormalities/1nf.htm
    Postural Orthostatic Tachycardia Syndrome Patient's report on causes, symptoms, and treatment By Christopher Calder Christopher Calder ccalder1@yahoo.com Abstract: The paper represents a patient's report on POTS and related issues.
    Tachycardia means an extremely rapid heart rate, usually signified by a pulse rate of over 100 beats per minute (bpm). Postural orthostatic tachycardia syndrome (POTS) is clinically defined as a heart rate increase of 30 bpm or more from the supine (laying down) to the standing position within ten minutes or less. Patients with florid POTS develop tachycardia over 120 bpm within 5 minutes or less.
    Latest Version see : http://home.att.net/~potsweb/POTS.html Index CFS Abnormalities Index CFS Pages var site="sm8cfsresearch" Information on this site is provided for informational purposes only and is not meant to substitute the advice provided by your own physician or other medical professionals. Consult your own physician regarding the applicability of any information listed on this website with respect to your symptoms or medical condition

    18. Postural Orthostatic Tachycardia Syndrome Resources On The Internet
    postural orthostatic tachycardia syndrome. Health News, Postural Orthostatic TachycardiaSyndrome Patient's report on causes, symptoms, and treatment.
    http://www.healthcyclopedia.com/postural_orthostatic_tachycardia_syndrome.html

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    Orthostatic Intolerance - An article written by David Robertson, MD explaining this disorder. A list of alternate names which could be used for this or similar disorders is enclosed. Postural Orthostatic Tachycardia Syndrome - An introduction to this disease with a list of possible causes, the symptoms, and treatment. Postural Orthostatic Tachycardia Syndrome - Patient's report on causes, symptoms, and treatment. Postural Orthostatic Tachycardia Syndrome - A definition of POTS and its relation to Chronic Fatigue Syndrome and the pathophysiology.

    19. NINDS Postural Tachycardia Syndrome Information Page
    NINDS Postural Tachycardia Syndrome Information Page Synonym(s) Chronic OrthostaticIntolerance, postural orthostatic tachycardia syndrome Reviewed 116-2002
    http://www.ninds.nih.gov/health_and_medical/disorders/postural_tachycardia_syndr
    National Institute of Neurological Disorders and Stroke Accessible version Science for the Brain The nation's leading supporter of biomedical research on disorders of the brain and nervous system Browse all disorders Browse all health
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    NINDS Postural Tachycardia Syndrome Information Page
    Synonym(s):
    Chronic Orthostatic Intolerance, Postural Orthostatic Tachycardia Syndrome
    Reviewed 11-6-2002 Get Web page suited for printing
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    Table of Contents (click to jump to sections) What is Postural Tachycardia Syndrome?
    Is there any treatment?
    What is the prognosis? What research is being done? ... Organizations What is Postural Tachycardia Syndrome? Postural tachycardia syndrome (POTS) is a disorder characterized by a pulse rate that is too fast when the patient stands. Symptoms include rapid heartbeat, lightheadedness with prolonged standing, headache, chronic fatigue, chest pain, and other nonspecific complaints. Causes of POTS usually are not identified in individual patients. Reversible causes such as low blood volume should be ruled out. Is there any treatment?

    20. NINDS - News And Events
    PostPolio Syndrome Postherpetic Neuralgia Postinfectious Encephalomyelitis PosturalHypotension postural orthostatic tachycardia syndrome Postural Tachycardia
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