Sleep disorders in patients with postural tachycardia syndrome
Abstract
Objective Patients with postural tachycardia syndrome (POTS) often describe symptoms of fatigue, sleepiness, and lack of refreshing sleep. We aimed to provide further objective measures of sleep in patients with POTS. Methods POTS patients (n = 18) were selected based on autonomic testing and evaluation at our center. Controls (n = 16) of similar age, gender, and BMI were selected from new patients referred to the Stanford Sleep Disorders Clinic for any sleep-related complaint. All patients underwent polysomnography and completed several sleep questionnaires and a 2-week sleep diary. Results POTS patients and control subjects were of similar age (27 ± 10.2 vs. 29 ± 5.4 years, p = 0.92) and Body Mass Index (21 ± 3.8 vs. 24 ± 4.1, p = 0.14). The majority of subjects in both groups were females (72 % POTS vs. 81 % controls). POTS patients scored higher on subjective fatigue scales but not sleepiness scales. POTS patients scored in the normal range on the BDI and the "evening" category on the MEQ. Their sleep diaries were not different from controls. With the exception of mild OSA, slightly reduced %REM and prolonged REM latency, their PSG data were normal and no different from controls. Conclusions It is unlikely that the sleep-related complaints of POTS patients are the result of a primary sleep disorder unique to POTS. We propose that a combination of factors such as body fatigue, chronic pain, and other somatic symptoms common in POTS patients might be the underlying reason f…
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When asked to quantify and qualify their symptoms, POTS patients score higher on fatigue scales than they do sleepiness scales.
“When asked to quantify and qualify their symptoms, POTS patients score higher on fatigue scales than they do sleepiness scales,”
From Postural Orthostatic Tachycardia Syndrome (2019) · cites this paper as [86]
Cites
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Postural Tachycardia Syndrome (POTS)
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Psychiatric profile and attention deficits in postural tachycardia syndrome
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Postural Orthostatic Tachycardia Syndrome
Bryarly, M., Phillips, L. T., Fu, Q., Vernino, S., & Levine, B. D. (2019) · Journal of the American College of Cardiology · doi:10.1016/j.jacc.2018.11.059 · Cited by 245 · see citing works
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Health-related quality of life and suicide risk in postural tachycardia syndrome
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- Authors
- Miglis, M. G., Muppidi, S., Feakins, C., Fong, L., Prieto, T., & Jaradeh, S.
- Affiliations
- Stanford Medicine (US)
- Corresponding author
- Miglis, Mitchell G.
- Venue
- Clinical Autonomic Research
- Published
- 2015-12-22
- Volume
- 26
- Issue
- 1
- Pages
- 67-73
- ISSN
- 0959-9851 (ISSN-L)
- 1619-1560
- OpenAlex
- W2207425693
- Cited by
- 25
- References
- 5
- Citations by year
- 2025: 1 · 2023: 1 · 2022: 4 · 2021: 3 · 2020: 3 · 2019: 1 · 2018: 4 · 2017: 7 · 2016: 1
- FWCI
- 4.04
- Type
- journal article
- Language
- en
- Open access
- closed
- Licence
- www.springer.com/tdm (tdm)
- Locations
- Clinical Autonomic Research (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Surgery › Cardiovascular Syncope and Autonomic Disorders
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Sleep and related disorders
- Health Sciences › Medicine › Physiology › Obstructive Sleep Apnea Research
- Keywords
- postural orthostatic tachycardia syndrome, sleep disorders, fatigue, sleepiness, polysomnography, sleep diary, REM sleep, obstructive sleep apnea, autonomic dysfunction, chronic pain, somatic symptoms
- MeSH terms
- Adult, Fatigue, Female, Humans, Male, Medical Records, Surveys and Questionnaires, Sleep Wake Disorders, Polysomnography, Postural Orthostatic Tachycardia Syndrome
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