Time course of autonomic symptoms in postural orthostatic tachycardia syndrome (POTS) patients: two-year follow-up results
Open accessAbstract
Postural orthostatic tachycardia syndrome (POTS) is a multifactorial condition capable of chronically reducing the quality of life and the work ability of patients. The study aim was to assess the burden of autonomic symptoms in a cohort of POTS patients over 2 years. Patients’ clinical profiles were assessed by the 31-item Composite Autonomic Symptom Score questionnaire (COMPASS 31) and a visual analog scale (VAS). One-way ANOVA for repeated measures followed by Dunnett’s post-hoc test were used to compare symptoms at baseline and at 1 and 2 years. Out of 42 enrolled patients, 25 had a 1-year follow-up and 12 had a 2-year follow-up. At baseline, the reported burden of autonomic symptoms was high (overall COMPASS 31 = 49.9 ± 14.3 /100). Main complaints were related to orthostatic intolerance according to both COMPASS 31 and VAS. Fourteen patients were rendered inactive because of symptoms. At 1-year follow-up, a statistically significant improvement in pupillomotor function and overall score was detected by the COMPASS 31. These findings were confirmed at 2 years, together with a significant reduction in quality of life impairment, assessed by VAS. However, these improvements did not change patients’ occupational status. Awareness of POTS diagnosis, patient monitoring, and tailored therapies can help to improve patients’ condition.
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Medium-high quality longitudinal evaluation of POTS found a reduction of symptom burden over time.
“Medium-high quality longitudinal evaluation of POTS found a reduction of symptom burden over time (Dipaola et al., 2020”
From Self-reported symptom burden in postural orthostatic tachycardia syndrome (POTS): A narrative review of observational and interventional studies (2023) · cites this paper as Dipaola et al., 2020
Studies using the COMPASS31 showed people with POTS report a wide range of autonomic symptoms of moderate to severe intensity.
“Studies using the COMPASS31, showed people with POTS also report a wide range of autonomic symptoms of moderate to severe intensity”
From Self-reported symptom burden in postural orthostatic tachycardia syndrome (POTS): A narrative review of observational and interventional studies (2023) · cites this paper as Dipaola et al., 2020
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- Authors
- Dipaola, F., Barberi, C., Castelnuovo, E., Minonzio, M., Fornerone, R., Shiffer, D., Cairo, B., Zamuner, A. R., Barbic, F., & Furlan, R.
- Affiliations
- Humanitas University (IT)
- IRCCS Humanitas Research Hospital (IT)
- University of Milan (IT)
- Departamento de Kinesiología, Universidad Católica del Maule, 3605 Talca, Chile
- Corresponding author
- Furlan, Raffaello
- ORCID
- Venue
- International Journal of Environmental Research and Public Health
- Publisher
- MDPI AG
- Published
- 2020-08-13
- Volume
- 17
- Issue
- 16
- Pages
- 5872
- ISSN
- 1660-4601 (ISSN-L)
- PMC
- PMC7460485
- OpenAlex
- W3048576599
- Cited by
- 24
- References
- 44
- Citations by year
- 2026: 2 · 2025: 2 · 2024: 6 · 2023: 3 · 2022: 6 · 2021: 4 · 2020: 1
- FWCI
- 3.20
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Licence
- Locations
- International Journal of Environmental Research and Public Health (publishedVersion, cc-by)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- RePEc: Research Papers in Economics (submittedVersion)
- Archivio Istituzionale della Ricerca (Universita Degli Studi Di Milano) (submittedVersion, other-oa)
- DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion)
- Funders
- Italian Ministery of Health (RF-2013-02355242)
- 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 › Neurology › Long-Term Effects of COVID-19
- Keywords
- postural orthostatic tachycardia syndrome, autonomic symptoms, orthostatic intolerance, quality of life, long-term follow-up, symptom burden, occupational status
- MeSH terms
- Adult, Autonomic Nervous System, Female, Follow-Up Studies, Humans, Male, Middle Aged, Quality of Life, Time Factors, Cohort Studies, Postural Orthostatic Tachycardia Syndrome, Young Adult
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