Postural Orthostatic Tachycardia Syndrome

Improved Essays
POSTURAL = position of the body
ORTHOSTATIC = relating to or caused by an upright posture
TACHYCARDIA = increased heart rate
SYNDROME = a combination of symptoms

Normally, when a person stands up, the heart rate increases by 10 beats per minute or less. With POTS, the increase is often far greater - usually 30 beats per minute or more.

Postural orthostatic tachycardia syndrome is a condition in which a change from the supine position to an upright position causes an abnormally large increase in heart rate, called tachycardia.
When an adult without POTS stands up, gravity pulls blood into the lower body
The brain senses a sudden loss of blood and triggers a response (heart beats faster, heart beats with greater force)
Vessels in lower half
…show more content…
The brain still sensing the loss of blood, maintains the rapid heartbeats & abnormal blood pressure. Often times this leads to fainting or lightheadedness.
Orthostatic Intolerance describes a condition in which an excessively reduced volume of blood returns to the heart after an individual stands up from a lying down position.
Postural Orthostatic Tachycardia Syndrome (POTS) is a form of Dysautonomia (estimated to impact between 1,000,000 and 3,000,000 Americans, & millions more world wide)

Dysautonomia is an umbrella term for various conditions in which the autonomic nervous system (ANS) does not work correctly.
Dysautonomia is a type of neuropathy affecting the nerves that carry information from the brain and spinal cord to the heart, bladder, intestines, sweat glands, pupils, and blood vessels.
People living with various forms of Dysautonomia have trouble regulating these systems which can result in lightheadedness, fainting, unstable blood pressure, and abnormal heart rates, like in the case of
…show more content…
Eating too much refined carbohydrates
Speed of positional change - don't stand up to quickly
Dehydration
Time of the day (symptoms may be worse in the morning upon rising)
Menstrual period
Prolonged bed rest
Alcohol (dilates the blood vessels)
Exercise (initial start of exercise may make symptoms worse, but with time ongoing exercise will improve symptoms

or a heart rate that exceeds 120 bpm (tachycardia), within 10 minutes of rising
Patients are usually diagnosed by a Cardiologist or Neurologist
Therapies for POTS are targeted at relieving low blood volume or regulating circulatory problems that could be causing the disorder
No single treatment has been found to be effect for all
A number of drugs seem to be effective in the short term
Beta Blockers - used to control heart rhythm & reduce high blood pressure)
Alpha Agonists - narrow blood vessels & help push back more blood to the heart
SSRI's & SNRI's - serotonin plays a part in control of both heart & blood pressure
Fludrocortisone - synthetic steroid makes person retain salt & produces increase in blood volume
Desmopressin - hormone reduces urine production, promotes water retention & increase heart rate
Erythropoietin - increases amount of red blood cells & increases blood

Related Documents

  • Superior Essays

    Room 337 Case Study

    • 1326 Words
    • 5 Pages

    Room 337, an 85- year old widowed white female, presented six days ago to Lynchburg General Hospital with complaints of dizziness and falling. She has a past medical history of hypertension, chronic CHF, asthma and hypothyroidism. After the conduction of lab testing, Room 337 was diagnosed with syncope. Her syncope was most likely a result of insufficient O2 delivery to the brain caused by a decreased CO produced by the weakening of her heart muscle. Despite hypertension medications, Room N337’s dizziness and muscle fatigue persists demonstrated by fluctuations in her orthostatic BP readings reflecting the inability to get out of bed and move freely.…

    • 1326 Words
    • 5 Pages
    Superior Essays
  • Improved Essays

    The symptoms are heart pounding, which means increased heart rate. Another…

    • 1929 Words
    • 8 Pages
    Improved Essays
  • Improved Essays

    Arteriosclerosis is the buildup of plaque and lipids (atheroma) on the walls of an artery, leading to a narrowing of room for the blood to flow and then a total occlusion of the artery (VanMeter & Hubert, 2014, p. 347). When there is narrowing of the artery or an occlusion the heart has to work hard to get blood to all the parts of the body. This is what leads to the increased in BP. The fact that Mr. Q presents with such a high BP indicates that there is a total occlusion and his heart is working hard to try to supply the body (and brain) with blood, but is meeting resistance in multiple places, due to the arteriosclerosis. He has a headache and right sided numbness (arm and face), as wells as slurred speech, indicates that there are maybe multiple occlusions, and they are on one side of the brain (VanMeter & Hubert, 2014,…

    • 1404 Words
    • 6 Pages
    Improved Essays
  • Improved Essays

    The sympathetic nervous system tries to compensate for the decreased blood flow by increasing heart rate and contractility by releasing epinephrine and norepinephrine; also causing vasoconstriction. The kidneys are highly sensitive to a drop in blood flow and are stimulated by vasoconstriction and a decreased level of carbon dioxide which activates the renin-angiotensin system to increases blood pressure and afterload. Angiotensin II stimulates the adrenal cortex to start secreting aldosterone to retain sodium and water to increase blood volume (Hinkle and Cheever, 2015). All of these mechanisms puts the body in to fluid overload causing stress on ventricular…

    • 1093 Words
    • 5 Pages
    Improved Essays
  • Improved Essays

    She noted that Mr Jones had dizzy spells , shortness of breath on exertion and palpitations years ago . His GP identified a heart murmur and referred him to a cardiologist in his local hospital, blood tests, electrocardiography (ECG) and echocardiography (ECHO) , followed by a hospital admission for an angiogram were done. Mr Jones was told that he had a leaking valve in his heart and would be referred for the surgery to replace the leaking valve. Mr. Jones was now increasingly breathless and had slept with the use of three pillows , he noted that it was not uncommon for him to wake up or lying down feeling breathless and that this was relieved by sitting up for a short time. Past medical history…

    • 587 Words
    • 3 Pages
    Improved Essays
  • Improved Essays

    Dysarthria Research Paper

    • 1363 Words
    • 6 Pages

    Dysarthria is a speech disorder caused by a stoke, cerebrum damage, tumors, or Parkinson's disease. Dysarthria damages movements in muscles used for speech production. These muscles incorporate the tongue, vocal folds, lips and diaphragm. Dysarthria is weakened in communication due to shortcoming, loss of motion and incoordination of speech. It influences your pitch, loudness, voice quality, prosody, respiration and articulation.…

    • 1363 Words
    • 6 Pages
    Improved Essays
  • Decent Essays

    When a patient is in SVT, their heart rates are 130 to 250 beats per minute. Many people dont know they are having SVT, while others will have fluttering or a racing feeling in their chest, chest discomfort, dizziness, fainting or sweating (Healthwise, 2014). When trying to stop patients from being in SVT, suggest vagal maneuvers such as gagging, holding your breath and bearing down, coughing, or immersing your face in cold water-to slow your heart rate(Healthwise, 2014). When vagal maneuvers, carotid massage, and adenosine don't work, the patient may need cardioversion. If a patient has low blood pressure, chest pain, or a failing heart with tachycardia, the condition is considered unstable, and would need to be cardioverted(Bryg, MD, 2016).…

    • 133 Words
    • 1 Pages
    Decent Essays
  • Decent Essays

    Polyneuropathy Pathology

    • 392 Words
    • 2 Pages

    Polyneuropathy commonly arises from diabetes, autoimmune diseases, toxins, and nutritional deficiency to secondary alcoholism. The pathophysiology’s associated with polyneuropathy are symmetrical involvement of multiple nerve fibers, which results in stocking/glove distribution of sensation. In addition, demyelination of distal part long axons because of the increase in myelin. Moreover, degeneration of the distal part of long axon because inadequate axonal transport to distal ends of axons.…

    • 392 Words
    • 2 Pages
    Decent Essays
  • Improved Essays

    Ms. Barth presents in a hyper-adrenergic state that causes acute pulmonary hypertension. Consequently, this causes pulmonary edema due to an increased hyperstatic pressure. Globally, she has systemic hypertension a result of vascular spasms and increased heart rate. Symptomatically she feels hot, sweaty, and anxious due to vasoconstriction (increasing heat retention) stimulation of sweat glands, and increased norepinephrine.…

    • 581 Words
    • 3 Pages
    Improved Essays
  • Improved Essays

    Premature Ventricular Contractions (Pvcs) Overview- Premature ventricular contractions (PVCs) are abnormal, extra heart-rates that initiate in ventricles, one of your heart's two lower pumping chambers. These additional pulsates disturb your normal heart musicality, in some cases making you feel a flip-flop or skipped beat in your chest. Premature ventricular contractions are extremely normal, mainly it occurs in most of the people at some time.…

    • 744 Words
    • 3 Pages
    Improved Essays
  • Improved Essays

    The ever changing outside world is divergent from the human body. With improvement of previous processes, the human body needs to keep a relatively stable internal environment, known as homeostasis. This crucial ability of the body consists of three components support the control mechanism; the receptor, the control center, and the response. Positive feedback is one of the two loops of homeostasis and, it is the enhancement or amplification of the original stimulus by an output. This cyclic feedback continues to amplify the body’s response to stimulus until negative feedback takes over.…

    • 648 Words
    • 3 Pages
    Improved Essays
  • Improved Essays

    Cardiac Arrhythmia Essay

    • 723 Words
    • 3 Pages

    Premature beats is the most common type and harmless. Majority of the time it happens naturally or due to the fact of being over stressed, over training, and or too much caffeine. Premature beats usually do not cause any symptoms therefore the reason it is harmless. Rare occasion of a symptom appearing would make the chest feel like it is fluttering. This type of symptom needs no treatment, especially in one who takes care of his body…

    • 723 Words
    • 3 Pages
    Improved Essays
  • Improved Essays

    Do you or someone you know have heart arrhythmia or also commonly known as an irregular heartbeat. Heart arrhythmia can be a very serious disease based on the way you live your life day to day and what goes into body everyday. If a person has a heart arrhythmia, he should study the causes, preventions and cures in order to lead the healthiest lifestyle possible. Have you ever heard of heart arrhythmia? Heart arrhythmia is also commonly known as an irregular heartbeat ( Sandhyha Pruthi M.D. www.mayoclinic.org ).…

    • 612 Words
    • 3 Pages
    Improved Essays
  • Brilliant Essays

    Heart Rate Vulnerability

    • 1265 Words
    • 6 Pages

    Conclusion Heart rate variability has considerable potential to assess the fluctuations in the autonomic nervous system. Here we have examined the impact of meditation – Dialogue with the Body – on heart rate variability. A relaxing effect of meditation on Heart rate variability was observed. Thus this non-invasive methodology is of substantial utility to evaluate autonomic control mechanisms in spite of an incomplete understanding of the physiological significance of HRV parameters. There was an increase in the RR interval, SDNN and SD2 on day 90 indicating an increase in heart rate variability and relaxation with a decrease in stress.…

    • 1265 Words
    • 6 Pages
    Brilliant Essays
  • Improved Essays

    Essay On Heart Failure

    • 1716 Words
    • 7 Pages

    This leads to enlargement of the muscles; enlarged muscles lack sufficient oxygen supply due to reduced supply of coronary artery to the muscles of the heart. Patients present with palpitations, increased breathing, orthopnea, night breathlessness, easy fatigue and other signs. The predisposing factors include; hypertension, lack…

    • 1716 Words
    • 7 Pages
    Improved Essays

Related Topics