The Cribsiders S6 Ep123: Taking the Lid off POTS - Unpacking Pediatric Dysautonomia
Oct 23, 2024
Dr. Kelsey Klaas, a pediatrician from the Mayo Clinic specializing in adolescent autonomic disorders, unpacks the challenges of Postural Orthostatic Tachycardia Syndrome (POTS). She shares insights on diagnosing POTS, the significance of teamwork in treatment, and managing symptoms through practical strategies. The conversation also addresses the stigma surrounding dysautonomia, the role of hydration and exercise, and the complexities of coexisting conditions like Ehlers-Danlos Syndrome. It's an enlightening discussion packed with expert advice for families navigating this condition.
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Defining POTS
- POTS (Postural Orthostatic Tachycardia Syndrome) is a specific type of dysautonomia, or autonomic dysfunction.
- It's characterized by chronic orthostatic intolerance (at least three months), excessive heart rate increase upon standing, and the absence of orthostatic hypotension.
Red Flags in Presyncope
- Look for red flags like exertional syncope, sudden loss of consciousness, prolonged loss of awareness, or convulsive symptoms.
- These could indicate more serious issues that need immediate attention.
Disparities in POTS
- While POTS research shows a predominance in Caucasian females, it can affect anyone.
- Be mindful of potential biases and consider POTS for all patients with relevant symptoms.