POTS is a condition that can be associated with other chronic conditions such as Fibromyalgia, Chronic Fatigue Syndrome, Anxiety, irritable bowel symptoms, and Lyme Disease. In today’s broadcast we will discuss how POTS can be an independent cause of fatigue, summarize the current treatments for this condition, but also expand upon new research demonstrating an autoimmune component that may be driving POTS. Please enjoy
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References:
1. | A tale of two syndromes: Lyme disease preceding postural orthostatic tachycardia syndrome. |
Noyes AM, Kluger J. | |
Ann Noninvasive Electrocardiol. 2015 Jan;20(1):82-6. doi: 10.1111/anec.12158. Epub 2014 May 15. | |
PMID: 24830783 [PubMed – indexed for MEDLINE] | |
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2. | Postural orthostatic tachycardia syndrome (POTS): association with Ehlers-Danlos syndrome and orthopaedic considerations. |
Grigoriou E, Boris JR, Dormans JP. | |
Clin Orthop Relat Res. 2015 Feb;473(2):722-8. doi: 10.1007/s11999-014-3898-x. Epub 2014 Aug 26. | |
PMID: 25156902 [PubMed – indexed for MEDLINE] Free PMC Article | |
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3. | An assessment of fatigue in patients with postural orthostatic tachycardia syndrome. |
Wise S, Ross A, Brown A, Evans M, Jason L. | |
J Health Psychol. 2015 Nov 4. pii: 1359105315613624. [Epub ahead of print] | |
PMID: 26537521 [PubMed – as supplied by publisher] | |
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4. | Menstrual cycle phase does not affect sympathetic neural activity in women with postural orthostatic tachycardia syndrome. |
Stickford AS, VanGundy TB, Levine BD, Fu Q. | |
J Physiol. 2015 May 1;593(9):2131-43. doi: 10.1113/JP270088. Epub 2015 Mar 19. | |
PMID: 25656420 [PubMed – indexed for MEDLINE] | |
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5. | A cross-sectional study on upright heart rate and BP changing characteristics: basic data for establishing diagnosis of postural orthostatic tachycardia syndrome and orthostatic hypertension. |
Zhao J, Han Z, Zhang X, Du S, Liu AD, Holmberg L, Li X, Lin J, Xiong Z, Gai Y, Yang J, Liu P, Tang C, Du J, Jin H. | |
BMJ Open. 2015 Jun 1;5(6):e007356. doi: 10.1136/bmjopen-2014-007356. | |
PMID: 26033944 [PubMed – indexed for MEDLINE] Free PMC Article | |
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6. | Comorbidity of postural orthostatic tachycardia syndrome and chronic fatigue syndrome in an Australian cohort. |
Reynolds GK, Lewis DP, Richardson AM, Lidbury BA. | |
J Intern Med. 2014 Apr;275(4):409-17. doi: 10.1111/joim.12161. Epub 2013 Nov 29. | |
PMID: 24206536 [PubMed – indexed for MEDLINE] Free Article | |
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7. | Addressing the confounding role of joint hypermobility syndrome and gastrointestinal involvement in postural orthostatic tachycardia syndrome. |
Farmer AD, Fikree A, Aziz Q. | |
Clin Auton Res. 2014 Jun;24(3):157-8. doi: 10.1007/s10286-014-0239-9. Epub 2014 Mar 29. | |
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8. | Painful temporomandibular disorders are common in patients with postural orthostatic tachycardia syndrome and impact significantly upon quality of life. |
Durham J, McDonald C, Hutchinson L, Newton JL. | |
J Oral Facial Pain Headache. 2015 Spring;29(2):152-7. doi: 10.11607/ofph.1396. | |
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9. | Mechanism of choline deficiency and membrane alteration in postural orthostatic tachycardia syndrome primary skin fibroblasts. |
Schenkel LC, Singh RK, Michel V, Zeisel SH, da Costa KA, Johnson AR, Mudd HS, Bakovic M. | |
FASEB J. 2015 May;29(5):1663-75. doi: 10.1096/fj.14-258566. Epub 2014 Dec 2. | |
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10. | [Pyridostigmine in the treatment of postural orthostatic tachycardia syndrome]. |
Can I, Tholakanahalli V. | |
Turk Kardiyol Dern Ars. 2014 Sep;42(6):553-5. doi: 10.5543/tkda.2014.23873. Turkish. | |
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11. | The complexity of diagnosing postural orthostatic tachycardia syndrome: influence of the diurnal variability. |
Moon J, Lee HS, Byun JI, Sunwoo JS, Shin JW, Lim JA, Kim TJ, Shin YW, Lee KJ, Jeon D, Jung KH, Lee ST, Jung KY, Chu K, Lee SK. | |
J Am Soc Hypertens. 2016 Mar;10(3):263-70. doi: 10.1016/j.jash.2016.01.011. Epub 2016 Jan 19. | |
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12. | [Postural orthostatic tachycardia syndrome (POTS)–pathophysiology, diagnostics, and treatment]. |
Rek M, Kaczmarek K, Cygankiewicz I, Wranicz JK, Ptaszy?ski P. | |
Przegl Lek. 2014;71(8):450-3. Review. Polish. | |
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13. | Postural orthostatic tachycardia syndrome: a dermatologic perspective and successful treatment with losartan. |
Landero J. | |
J Clin Aesthet Dermatol. 2014 Aug;7(8):41-7. | |
PMID: 25161760 [PubMed] Free PMC Article | |
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14. | Disturbances of gastrointestinal transit and autonomic functions in postural orthostatic tachycardia syndrome. |
Loavenbruck A, Iturrino J, Singer W, Sletten DM, Low PA, Zinsmeister AR, Bharucha AE. | |
Neurogastroenterol Motil. 2015 Jan;27(1):92-8. doi: 10.1111/nmo.12480. Epub 2014 Dec 6. | |
PMID: 25483980 [PubMed – indexed for MEDLINE] Free PMC Article | |
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15. | Postural Orthostatic Tachycardia Syndrome (POTS) – A novel member of the autoimmune family. |
Dahan S, Tomljenovic L, Shoenfeld Y. | |
Lupus. 2016 Apr;25(4):339-42. doi: 10.1177/0961203316629558. Epub 2016 Feb 3. | |
PMID: 26846691 [PubMed – in process] | |
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16. | Stimulant medication and postural orthostatic tachycardia syndrome: a tale of two cases. |
Cheshire WP. | |
Clin Auton Res. 2016 Mar 11. [Epub ahead of print] | |
PMID: 26968177 [PubMed – as supplied by publisher] | |
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17. | Postural orthostatic tachycardia syndrome (POTS) and vitamin B12 deficiency in adolescents. |
Öner T, Guven B, Tavli V, Mese T, Yilmazer MM, Demirpence S. | |
Pediatrics. 2014 Jan;133(1):e138-42. doi: 10.1542/peds.2012-3427. Epub 2013 Dec 23. | |
PMID: 24366986 [PubMed – indexed for MEDLINE] Free Article | |
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18. | Improvement in Functioning and Psychological Distress in Adolescents With Postural Orthostatic Tachycardia Syndrome Following Interdisciplinary Treatment. |
Bruce BK, Harrison TE, Bee SM, Luedtke CA, Porter CJ, Fischer PR, Hayes SE, Allman DA, Ale CM, Weiss KE. | |
Clin Pediatr (Phila). 2016 Mar 15. pii: 0009922816638663. [Epub ahead of print] | |
PMID: 26983448 [PubMed – as supplied by publisher] | |
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19. | Hemodynamic profile and heart rate variability in hyperadrenergic versus non-hyperadrenergic postural orthostatic tachycardia syndrome. |
Crnošija L, Krbot Skori? M, Adamec I, Lovri? M, Junakovi? A, Mišmaš A, Mileti? V, Šprljan Alfirev R, Paveli? A, Habek M. | |
Clin Neurophysiol. 2016 Feb;127(2):1639-44. doi: 10.1016/j.clinph.2015.08.015. Epub 2015 Sep 4. | |
PMID: 26386646 [PubMed – in process] | |
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20. | Autoimmunoreactive IgGs from patients with postural orthostatic tachycardia syndrome. |
Wang XL, Chai Q, Charlesworth MC, Figueroa JJ, Low P, Shen WK, Lee HC. | |
Proteomics Clin Appl. 2012 Dec;6(11-12):615-25. doi: 10.1002/prca.201200049. Epub 2012 Nov 8. | |
PMID: 23002038 [PubMed – indexed for MEDLINE] Free PMC Article | |
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21. | Autoimmunoreactive IgGs against cardiac lipid raft-associated proteins in patients with postural orthostatic tachycardia syndrome. |
Wang XL, Ling TY, Charlesworth MC, Figueroa JJ, Low P, Shen WK, Lee HC. | |
Transl Res. 2013 Jul;162(1):34-44. doi: 10.1016/j.trsl.2013.03.002. Epub 2013 Apr 3. | |
PMID: 23562385 [PubMed – indexed for MEDLINE] Free PMC Article | |
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22. | Autoimmune basis for postural tachycardia syndrome. |
Li H, Yu X, Liles C, Khan M, Vanderlinde-Wood M, Galloway A, Zillner C, Benbrook A, Reim S, Collier D, Hill MA, Raj SR, Okamoto LE, Cunningham MW, Aston CE, Kem DC. | |
J Am Heart Assoc. 2014 Feb 26;3(1):e000755. doi: 10.1161/JAHA.113.000755. | |
PMID: 24572257 [PubMed – indexed for MEDLINE] Free PMC Article | |
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23. | Diagnostic and therapeutic aspects of ?1-adrenergic receptor autoantibodies in human heart disease. |
Bornholz B, Roggenbuck D, Jahns R, Boege F. | |
Autoimmun Rev. 2014 Sep;13(9):954-62. doi: 10.1016/j.autrev.2014.08.021. Epub 2014 Aug 20. Review. | |
PMID: 25149394 [PubMed – indexed for MEDLINE] Free Article | |
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24. | Invited Article: Autonomic ganglia: target and novel therapeutic tool. |
Vernino S, Sandroni P, Singer W, Low PA. | |
Neurology. 2008 May 13;70(20):1926-32. doi: 10.1212/01.wnl.0000312280. | |
PMID: 18474849 [PubMed – indexed for MEDLINE] Free PMC Article | |
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25. | Antibody titers predict clinical features of autoimmune autonomic ganglionopathy. |
Gibbons CH, Freeman R. | |
Auton Neurosci. 2009 Mar 12;146(1-2):8-12. doi: 10.1016/j.autneu.2008.11.013. Epub 2009 Jan 13. | |
PMID: 19144572 [PubMed – indexed for MEDLINE] | |
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26. | Other autonomic neuropathies associated with ganglionic antibody. |
Sandroni P, Low PA. | |
Auton Neurosci. 2009 Mar 12;146(1-2):13-7. doi: 10.1016/j.autneu.2008.10.022. Epub 2008 Dec 4. Review. | |
PMID: 19058765 [PubMed – indexed for MEDLINE] Free PMC Article | |
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27. | The value of acetylcholine receptor antibody in children with postural tachycardia syndrome. |
Li J, Zhang Q, Liao Y, Zhang C, Hao H, Du J. | |
Pediatr Cardiol. 2015 Jan;36(1):165-70. doi: 10.1007/s00246-014-0981-8. Epub 2014 Aug 3. | |
PMID: 25087056 [PubMed – indexed for MEDLINE] | |
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28. | Small fiber neuropathies. |
Gibbons CH. | |
Continuum (Minneap Minn). 2014 Oct;20(5 Peripheral Nervous System Disorders):1398-412. doi: 10.1212/01.CON.0000455874. | |
PMID: 25299289 [PubMed – indexed for MEDLINE] | |
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