Postural Orthostatic Tachycardia Syndrome (POTS) is a condition that often co-occurs with other health issues, including migraine disease. In this guide, we will explore the symptoms, causes, and treatments for POTS, and its connection to migraine.
POTS is a disorder of the autonomic nervous system, specifically affecting the regulation of blood flow and heart rate. When a person with POTS stands up, their heart rate increases significantly without a corresponding drop in blood pressure. This can lead to a variety of symptoms, the most common of which are:
To diagnose POTS, doctors typically measure heart rate changes when transitioning from lying down to standing. A diagnosis is made when:
A tilt table test is sometimes used to confirm the diagnosis, but it is not always necessary.
POTS often occurs in younger individuals and can be triggered by a variety of factors, including:
There are different types of POTS, each with its own underlying cause:
Several factors can worsen POTS symptoms:
While there is no cure for POTS, symptoms can often be managed with lifestyle changes and medication:
Medications like fludrocortisone (to retain sodium and increase blood pressure), beta blockers (to reduce heart rate), and intravenous fluids may also be used.
There is a strong association between POTS and migraine. Many people with POTS experience frequent headache, including:
POTS often occurs alongside other conditions, including:
If you suspect you have Postural Orthostatic Tachycardia Syndrome (POTS), it is important to seek out a healthcare provider familiar with the condition. While some primary care physicians may be able to diagnose and manage POTS, more complex cases may require a specialist, such as an electrophysiologist or cardiologist who focuses on autonomic nervous system disorders.
POTS is a complex disorder that affects many aspects of daily life, but with the right treatment plan, symptoms can often be managed. For those with migraine disease, understanding the link between POTS and migraine can help guide effective treatment strategies. If you experience symptoms of POTS, be sure to consult with a healthcare provider to explore the best treatment options for you.
This resource is based on HeadWise Episode 22, POTS and Migraine Disease with Vince Martin, MD
Published, 07/16/2019
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