Neuro Praxis Düsseldorf

POTS: Targeted countermeasures are very quickly effective

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

Postural tachycardia, i.e. the acceleration of the pulse while standing or during low physical exertion, is a frequently overlooked circulatory disorder - especially because postural tachycardia syndrome rarely leads to fainting. More common are non-specific complaints that change during the course of the day, such as headaches, dizziness, a feeling of weakness, but also anxiety or fear. Those affected often notice a rapid pulse or palpable palpitations themselves when standing or during comparatively light physical exertion. The symptoms typically occur in an upright position. They promptly feel better when lying down.

It is not always possible to identify the causes of these circulatory disorders. Most of the time, however, these disorders are temporary and disappear after weeks or months. Possible causes of postural tachycardia syndrome are, for example, fluid loss and/or salt loss as in renal insufficiency, thyroid disease, infections, childbirth, major surgery, congenital connective tissue weakness and occasionally anxiety disorders. This form of circulatory disorder is well treatable requires careful history, examination to find the appropriate individually very different long-term successful treatment in each case.

Typically, the diagnosis of postural tachycardia syndrome is made late. In order to reduce the uncertainty that the above-mentioned complaints can cause, we provide careful information about postural tachycardia syndrome after comprehensive diagnostics. For this purpose, it is important to learn which complaints to look out for and which forms of stress lead to circulatory disorders. At the ANS Clinic, we have suitable examination methods available for you and support you in your everyday life with an electronic diary as well as recommendations for the prevention of circulatory disorders and an individual treatment concept.

In the ANS Clinic, the standardised tests of circulatory regulation also include the examination of heart rate variability using various test conditions such as deepened breathing, Valsalva manoeuvre and passive sitting up using a tilt table.

In order to recognise a circulatory disorder, but also to find triggers for fainting, it is important to educate those affected and their relatives. This is the only way to recognise and avoid triggers, for example in the case of vasovagal syncope, i.e. reflex fainting. For this purpose, the ANS Clinic offers education and technical support. Targeted countermeasures are effective very quickly. Circulation training and tips for everyday life help to prevent fainting. Medication is rarely necessary for this.

The diligence of the search for the cause and the understanding of all influencing factors contribute decisively to the success of the treatment. The ANS Clinic concept is based on close cooperation with colleagues from other medical disciplines such as cardiology, gastroenterology, diabetology, pulmonology and sleep medicine.