Postural Tachycardia Syndrome
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Sympathetic denervation in POTS obstructs compensatory vascular constriction during upright posture, allowing blood pooling in splanchnic vasculature and lower extremities, leading to decreased venous return, sympathetic activation, and tachycardia.
“Sympathetic denervation obstructs compensatory vascular constriction during upright posture, allowing blood to pool in the splanchnic vasculature and lower extremities [7;43;8]. The resulting decrease in venous return leads to the sympathetic activation and tachycardia of POTS.”
From Postural tachycardia syndrome: beyond orthostatic intolerance (2015) · cites this paper as [7]
POTS patients may have orthostatic hypertension and complain of tremor, anxiety, and cold, sweaty extremities.
“These patients may have orthostatic hypertension (increase in systolic blood pressure >10 mmHg on standing) and complain of tremor, anxiety and cold, sweaty extremities [7;25].”
From Postural tachycardia syndrome: beyond orthostatic intolerance (2015) · cites this paper as [7]
Erythropoietin increases red cell mass and may stimulate vasoconstriction.
“Erythropoietin increases red cell mass and may also stimulate vasoconstriction [7].”
From Postural tachycardia syndrome: beyond orthostatic intolerance (2015) · cites this paper as [7]
Erythropoietin has potential adverse effects including myocardial infarction and stroke.
“Potential adverse effects include vascular complications (myocardial infarction and stroke).”
From Postural tachycardia syndrome: beyond orthostatic intolerance (2015) · cites this paper as [7]
A hyperadrenergic subtype of POTS has been proposed.
“In opposite to the 'hypovolemic' subtype, another form of POTS, the 'hyperadrenergic' subtype was proposed [55].”
From Postural orthostatic tachycardia syndrome: clinical presentation, aetiology and management (2019) · cites this paper as [55]
The hyperadrenergic subtype is characterized by high circulating norepinephrine during orthostasis, a tendency to orthostatic hypertension, and frequent extremity tremor, anxiety, migraine, and angina-like chest pain.
“In this form, which is characterized by high level of circulating norepinephrine during orthostasis, patients demonstrate tendency to orthostatic hypertension and often complain of extremity tremor, anxiety, migraine and angina-like chest pain [55].”
From Postural orthostatic tachycardia syndrome: clinical presentation, aetiology and management (2019) · cites this paper as [55]
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“In the “hyperadrenergic” subtype, patients often complain of tremor, anxiety, migraine and angina-like chest pain (Grubb, 2008).”
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- Authors
- Grubb, B. P.
- Affiliations
- University of Toledo (US)
- Corresponding author
- Grubb, Blair P.
- ORCID
- Grubb, Blair P.
- Venue
- Circulation
- Published
- 2008-05-27
- Volume
- 117
- Issue
- 21
- Pages
- 2814-2817
- ISSN
- 0009-7322 (ISSN-L)
- 1524-4539
- OpenAlex
- W2076492629
- Cited by
- 224
- References
- 14
- Citations by year
- 2026: 3 · 2025: 6 · 2024: 13 · 2023: 3 · 2022: 11 · 2021: 14 · 2020: 16 · 2019: 13 · 2018: 20 · 2017: 16 · 2016: 14 · 2015: 12 · 2014: 19 · 2013: 14 · 2012: 16
- FWCI
- 10.55
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Circulation (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Surgery › Cardiovascular Syncope and Autonomic Disorders
- Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Heart Rate Variability and Autonomic Control
- Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Cardiac electrophysiology and arrhythmias
- Keywords
- postural orthostatic tachycardia syndrome, orthostatic intolerance, autonomic dysfunction, heart rate
- MeSH terms
- Adult, Autonomic Nervous System Diseases, Blood Pressure, Female, Humans, Posture, Prognosis, Shy-Drager Syndrome, Syndrome, Tachycardia
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