Cited by 24Cardiovascular Syncope and Autonomic DisordersHeart Rate Variability and Autonomic ControlLong-Term Effects of COVID-19

Time course of autonomic symptoms in postural orthostatic tachycardia syndrome (POTS) patients: two-year follow-up results

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Dipaola, Franca, Barberi, Caterina, Castelnuovo, Elena, Minonzio, Maura, Fornerone, Roberto, Shiffer, Dana, Cairo, Beatrice, Zamuner, Antonio Roberto +2 more·2020·International Journal of Environmental Research and Public Health

Abstract

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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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
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)
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
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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