POTS (Postural Orthostatic Tachycardia Syndrome) - Management
Activity:
• Exercise training
• Avoidance of deconditioning
Volume Expansion:
• Increase H2O & Na+ intake
• Compression stockings
• Fludrocortisone (Florinef) - mineralocorticoid: ↓ Na+ excretion by kidneys
Autonomic Medications:
• Midodrine (α1 agonist: vasoconstriction)
• Propranolol (ß blocker: ↓HR, but also ↓BP)
• Ivabradine (Inhibits pacemaker current: ↓ HR, minimal effect on BP)
• Clonidine (a2 agonist: ↓HR, but also ↓BP)
• Pyridostigmine (inhibits acetylcholinesterase ↑ parasympathetic activity → ↓HR)
- Dr. Eric Strong @DrEricStrong - Strong Medicine https://www.youtube.com/c/EricsMedicalLectures/
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