POTS: Targeted Diagnostics and Individualized Therapy

Treatment of Postural Tachycardia Syndrome (POTS) in the Neuro Praxis Düsseldorf

Postural Tachycardia Syndrome (POTS) is a frequently overlooked circulatory disorder characterized by a significant increase in heart rate upon standing or during light physical exertion. Because POTS rarely leads to immediate fainting (syncope), symptoms are often misdiagnosed or recognized late. Those affected frequently suffer from non-specific symptoms that fluctuate throughout the day, such as headaches, dizziness, fatigue, as well as chest tightness or palpitations. Typically, these symptoms occur in an upright position and improve promptly upon lying down.

Pioneering Expertise and New Clinical Guidelines
The medical care for POTS patients is currently undergoing a significant transformation. As of 2026, the official clinical guidelines for "Syncope and Circulatory Disorders" are being fundamentally revised. Professor Haubrich is coordinating the neurological aspects of this project. For the first time, these guidelines are being developed interdisciplinary in close cooperation with the German Cardiac Society (DGK) to ensure holistic care according to the latest medical standards.

Individualized Root Cause Analysis as the Key
A single cause is not always immediately apparent. Potential triggers can include infections, fluid and salt loss, thyroid disorders, connective tissue weakness (such as Ehlers-Danlos syndrome), or hormonal changes (e.g., following childbirth or major surgery).
A central pillar of our work at Neuro Praxis Düsseldorf is the understanding that a tailored and long-term successful treatment plan can only be created by diagnosing the specific individual pathomechanism. We take the time for a thorough medical history and differential diagnostics to understand exactly why your circulatory system has lost its balance.

Diagnostics and Treatment at the ANS Clinic
To reduce uncertainty and provide clarity, our ANS Clinic (Autonomic Nervous System) utilizes state-of-the-art diagnostic methods:

  • Heart Rate Variability (HRV): Measurement under various conditions (deep breathing, Valsalva maneuver).

  • Tilt Table Test: Standardized passive upright positioning to provoke and analyze symptoms.

  • Electronic Diary: Daily support to help identify individual triggers.

Holistic Therapeutic Approach
Our goal is to empower you to become an expert in your own condition through targeted education. Treatment is based on an individualized concept that often succeeds without the need for medication. Targeted counter-maneuvers, specialized circulatory training, and lifestyle adjustments are often effective very quickly.

The success of treatment at the ANS Clinic is built on close cooperation with other medical specialties, such as cardiology, gastroenterology, diabetology, and pulmonology. This interdisciplinary network is crucial for addressing all factors influencing your symptoms.