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Postural Tachycardia Syndrome : A Concise and Practical Guide to Management and Associated Conditions /

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 sp...

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Bibliographic Details
Corporate Author: SpringerLink (Online service)
Other Authors: Gall, Nicholas (Editor), Kavi, Lesley (Editor), Lobo, Melvin D. (Editor)
Format: eBook
Language:English
Published: Cham : Springer International Publishing : Imprint: Springer, 2021.
Edition:1st ed. 2021.
Subjects:
Cardiology.
Neurology .
Rheumatology.
Neurology.
Electronic books.
Online Access:Connect to the full text of this electronic book
Table of Contents:
  • Part I - Introduction
  • POTS - an introduction
  • What is it?
  • Historical background
  • Clinical presentation
  • Specialties where patients may be seen
  • Part II - Speciality Assessment
  • Cardiological and neurological considerations
  • Diagnostic criteria (not just a heart rate issue)
  • Pathophysiology and classification
  • Tests to consider, are they useful, what do they show
  • Cardiological - CPET, echo, holter et cetera-Neurological - MRI, nerve conduction studies
  • Autonomic
  • The simple active stand / tilt
  • Full autonomic function tests
  • Red flag symptoms
  • Cardiology
  • Neurology - MS, myopathy, epilepsy
  • Overlap conditions (mitral valve prolapse, IST)
  • Associated neurological conditions
  • Migraine
  • Sleep disturbance
  • Part III - Associated Conditions
  • Rheumatology
  • Overlap with hypermobility conditions
  • New consensus guidance on hypermobility
  • When to consider serious hypermobility
  • When to consider other inflammatory arthritides
  • Overlap with fibromyalgia and CRPS
  • Practical joint management including therapies
  • Endocrinology
  • What tests should we do to exclude an endocrine driver
  • How can we recognise and treat the symptoms of reactive hypoglycaemia
  • When do we need to consider referral to endocrinology
  • Gastrointestinal manifestations
  • Symptoms and causes
  • What tests to do to exclude alternative conditions
  • Simple and safe treatments that might help
  • When to refer to the gastro' clinic
  • What treatment is instituted in the specialist clinic?
  • Urology / Urogynaecology
  • Potential symptoms
  • When to consider referral?
  • Investigations to consider
  • Treatments
  • Association with Histamine abnormalities
  • Mast cell activation
  • What is it?
  • When does one consider it?
  • What tests to do to define its presence?
  • Can we treat it empirically without immunology review
  • When to refer
  • Audiovestibular medicine
  • Recognising vertiginous contributions (migraine variant balance disorder)
  • When to refer and what to expect
  • Part IV - Relevant Diagnostic Considerations
  • Potential alternative causes
  • Metabolic issues
  • Lyme disease
  • Chronic Fatigue syndrome
  • Part V - Therapy
  • Treatment
  • Non-pharmacological - salt, fluid, compression
  • Non-pharmacological - exercise
  • Pharmacological - when and how to use it
  • Midodrine
  • Ivabradine
  • Betablockers
  • Fludrocortisone
  • Octreotide
  • Pyridostigmine
  • Clonidine
  • Others e.g. desmopressin, EPO, SSRI, IV fluid
  • Assessing benefit
  • Part VI - Relevant Therapeutic Associations
  • Obstetrics / Gynaecology
  • Are there links with endometriosis and PCOS?
  • Who should be referred and when?
  • Implications for pregnancy and its management
  • Pelvic floor issues
  • Anaesthetic management
  • Anaesthetic considerations in POTS / EDS
  • Respiratory medicine
  • Hyperventilation is common - why and how to recognise it; why does it occur
  • What clinical findings / tests can exclude other conditions
  • When to refer to respiratory physio'
  • What management can help hyperventilation
  • When to consider respiratory medicine review
  • Psychological contributors
  • Functional symptoms
  • Stress responses
  • When to involve a psychologist / psychiatrist
  • CBT and other therapies
  • Part VII - Service Models
  • Primary Care
  • When to consider referral
  • Pointers in the surgery to the diagnosis
  • Tests to do first
  • Challenges of referral
  • Shared-care arrangements
  • POTS clinics
  • UK models of care KCH, NHNN, Sheffield, Newcastle, William Harvey, Royal Brompton, St Mary's, Poole
  • Can you set up your own autonomic tests and how do you do it?
  • Nursing aspects
  • Developing a nurse led clinic
  • Nurse-led follow-up
  • Patient aspects
  • POTS-UK / STARS
  • EDS UK / International HMSA. .