EP on EP Episode 67: POTS and Autonomic Dysfunction with David G. Benditt, BSEE, MD, FHRS-EP on EP Episode 67

Video Transcription

Video Summary

In this video, Eric Kostowski interviews Dr. David Bended about postural orthostatic tachycardia syndrome (POTS). They discuss the overdiagnosis of POTS and the specific criteria that are needed to establish a true diagnosis. Dr. Bended explains that a tilt table test is not necessary, and that the diagnosis can be made by observing orthostatic tachycardia and minimal drop in blood pressure. They also talk about the possible causes and mechanisms underlying POTS, including viral illnesses, autoimmune illnesses, trauma, and surgery. Treatment options discussed include re-education on salt and volume intake, physical rehabilitation, and the use of medications to slow heart rate and improve venous return. Dr. Bended also mentions that the prognosis for POTS varies and that some individuals may return to their pre-POTS state over time.

Keywords

postural orthostatic tachycardia syndrome

POTS

diagnostic criteria

treatment options

prognosis