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  1. Postural Orthostatic Tachycardia Syndrome: Dysautonomia, Orthostatic Intolerance, Supine Position,Tachycardia, Cerebral Blood Flow, Orthostatic Hypotension

81. Pediatric Research -- Abstracts: STEWART 48 (2): 218
Autonomic Nervous System Dysfunction in Adolescents with postural orthostatic tachycardia syndrome and Chronic Fatigue Syndrome Is Characterized by Attenuated
http://www.pedresearch.org/cgi/content/abstract/48/2/218
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Autonomic Nervous System Dysfunction in Adolescents with Postural Orthostatic Tachycardia Syndrome and Chronic Fatigue Syndrome Is Characterized by Attenuated Vagal Baroreflex and Potentiated Sympathetic Vasomotion
JULIAN M. STEWART Department of Pediatrics, The Center for Pediatric Hypotension, New York Medical College, Valhalla, New York 10595, U.S.A. Correspondence: Julian M. Stewart, M.D., Ph.D., The Center for Pediatric Hypotension and Division of Pediatric Cardiology, Suite 618, Munger Pavilion, New York Medical College, Valhalla, NY 10595, U.S.A. The objective was to determine the nature of autonomic and vasomotor changes in adolescent patients with orthostatic tachycardia associated with the chronic fatigue syndrome (CFS) and the postural orthostatic tachycardia syndrome (POTS). Continuous electrocardiography

82. Disorders Of The Autonomic Nervous System Targeted Pharmacologic
The postural orthostatic tachycardia syndrome a potentially treatable cause of chronic fatigue, exercise intolerance, and cognitive impairment in adolescents.
http://www.medscape.com/viewarticle/416459

83. NEJM -- The Neuropathic Postural Tachycardia Syndrome
Background The postural tachycardia syndrome is a common disorder that is characterized by chronic orthostatic symptoms and a dramatic increase in heart rate
http://content.nejm.org/cgi/content/short/343/14/1008
HOME SEARCH CURRENT ISSUE PAST ISSUES ... HELP Please sign in for full text and personal services Previous Volume 343:1008-1014 October 5, 2000 Number 14 Next The Neuropathic Postural Tachycardia Syndrome
Giris Jacob, M.D., D.Sc., Fernando Costa, M.D., John R. Shannon, M.D., Rose Marie Robertson, M.D., Mark Wathen, M.D., Michael Stein, M.D., Italo Biaggioni, M.D., Andy Ertl, Ph.D., Bonnie Black, R.N., and David Robertson, M.D.
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ABSTRACT Background The postural tachycardia syndrome is a common disorder that is characterized by chronic orthostatic symptoms and a dramatic increase in heart rate on standing, but that does not involve orthostatic hypotension. Several lines of evidence indicate that this disorder may result from sympathetic denervation of the legs. Methods We measured norepinephrine spillover (the rate of entry of norepinephrine into the venous circulation) in the arms and legs both before and in response to exposure to three stimuli (the cold pressor test, sodium nitroprusside infusion, and tyramine

84. Postural Tachycardia Syn (POTS)
SC AU Schondorf R AU - Suarez GA AU - Fealey RD AU - Camilleri M TI - Comparison of the postural tachycardia syndrome (POTS) with orthostatic hypotension due
http://neuro-www.mgh.harvard.edu/neurowebforum/AutonomicArticles/1.15.9710.47PMP
Postural Tachycardia Syn (POTS)
This article submitted by Don Ball on 1/15/97.
Author's Email: balld@vt.edu
Medline Search 1/15/97 POSTURAL and TACHYCARDIA
UI - 95265154
AU - Low PA
AU - Opfer-Gehrking TL
AU - Textor SC
AU - Benarroch EE
AU - Shen WK
AU - Schondorf R
AU - Suarez GA AU - Rummans TA TI - Postural tachycardia syndrome (POTS). RF - REVIEW ARTICLE: 48 REFS. AD - Department of Neurology, Mayo Clinic, Rochester, MN 55905, USA. AB - In orthostatic intolerance, the patient develops symptoms while standing that are relieved when the patient assumes a supine position. Different degrees of orthostatic intolerance exist, but not a system of grading severity. We have developed a system that grades the severity of orthostatic intolerance by the three-pronged criteria of the rapidity of development and the severity of orthostatic symptoms, the ability of the subject to withstand orthostatic stresses, and the degree of interference with daily living. In this article, this system is presented, and one disorder, postural tachycardia syndrome (POTS), is examined

85. ORTHOSTATIC HYPOTENSION
Clin Physiol 199919111120; Mokri B, Low PA. orthostatic headaches without CSF leak in postural tachycardia syndrome. Neurology 200361980-82; Pappas DG.
http://www.dizziness-and-balance.com/disorders/medical/orthostatic.html
ORTHOSTATIC HYPOTENSION
Timothy C. Hain, MD. Please read our Return to Index Search this site Page last modified: February 2, 2004 Orthostasis means upright posture, and hypotension means low blood pressure. Thus, orthostatic hypotension consists of symptoms of dizziness, faintness or lightheadedness which appear only on standing, and which are caused by low blood pressure. Only rarely is spinning vertigo caused by orthostasis. Vertigo and orthostatis may co-exist however. Symptoms that often accompany orthostatic hypotension include chest pain, trouble holding the urine, impotence, and dry skin from loss of sweating.
What Causes Orthostatic Hypotension ?
Blood pressure is maintained by a combination of several things. The heart is the central pump, and a weak or irregular heart can cause orthostasis. Conditions such as arrhythmia, heart failure, deconditioning, and pregnancy are examples where the heart may not be up to the task of providing an adequate blood pressure. The heart pumps blood, and if there is too little blood volume (anemia, dehydration, dialysis), the pressure drops. The blood vessels in the body also can squeeze (constrict) to raise blood pressure, and if this action is paralyzed, blood pressure may fall. Numerous medications affect blood vessels including most of the medications used for blood pressure, and many of the medications used in psychiatry and for anginal heart pain. Heat, such as a hot shower or from a fever can also dilate blood vessels and cause orthostasis. The nervous system senses and responds to regulate blood pressure. If something is wrong in this control system, blood pressure may fluctuate.

86. Orthostatic Intolerance Syndromes
Vasoregulatory Asthenia. Currently, there are three main categories used to describe orthostatic Intolerance Conditions postural tachycardia syndrome (POTS).
http://www.ndrf.org/orthostat.htm
NDRF
National Dysautonomia Research Foundation
1407 W Fourth Street, Suite 160, Red Wing, MN 55066-2108
Phone: (651) 267-0525 Fax: (651) 267-0524

Be sure to visit the NDRF Reference Page where you can learn more about the NDRF Patient Handbook, Videos and other reference materials.
Definitions History Symptoms ... Prognosis
Definitions
It is estimated that over 500,000 Americans are afflicted with Orthostatic Intolerance. Despite the enormity of the number, these conditions are among the least understood of the autonomic disorders. Affecting predominately younger individuals, often in those under the age of thirty five, these syndromes affect more women than men. The onset can be sudden, and the impact can be significant on both lifestyle and on the capacity to work. Often, these conditions tend to be misdiagnosed as either a psychiatric or anxiety - related disorders, due to the nature of the symptoms. Standing upright results in a series of reflexive bodily responses, regulated by the Autonomic Nervous System , to compensate for the effect of gravity upon the distribution of blood. These conditions are a result of an inappropriate response to this change in body position.

87. FOR PARENTS OF SICK AND WORN-OUT CHILDREN (CFS, CFIDS, NMH, ME, FM
syndrome (CFS); Chronic Fatigue Immune Dysfunction syndrome (CFIDS); Neurally Mediated Hypotension (NMH); postural orthostatic tachycardia (POTS); Fibromyalgia (FMS
http://www.bluecrab.org/health/sickids/sickids.htm

88. Scientists Identify A Cause Of Fainting Syndrome That Affects Young Women
has been called hyperadrenergic orthostatic tachycardia, or postural orthostatic tachycardia (POTS anxiety, anemia, or even chronic fatigue syndrome and treat
http://www.ats.org/news.php?id=22

89. JW Neurology -- Sign In
postural tachycardia syndrome (POTS) is characterized by orthostatic tachycardia and symptoms of intolerance without orthostatic hypotension.
http://neurology.jwatch.org/cgi/content/full/2000/1122/4

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90. ORTHOSTATIC INTOLERANCE
two, systematic orthostatic tachycardia (SOTS) and postural orthostatic tachycardia (POTS), are malfunction is taking place in all three orthostatic syndromes.
http://www.geocities.com/HotSprings/5983/orthostatic.htm
ORTHOSTATIC INTOLERANCE A common increase in the severity of symptoms often occurs in PWC's while standing. According to a study by Dr. Lapp there are 4 responses to the tilt table test / standing up without movement. The most commonly know is neuro mediated hypotenstion (NMH), which is characterized by a sudden drop in blood pressure and heart rate accompanied by the symptoms of dizzyness, nausea, weakness, fainting and sweating. The next two, systematic orthostatic tachycardia (SOTS) and postural orthostatic tachycardia (POTS), are related with a increase in heart rate above normal, palpitations and the symptoms of nausea, sweating , dizzyness, and headache. They differ in the amount of time before increased symptoms (sots= 10 min , pots=5 min). The last response is that of a typical healthy individual Rescently allot of press has been given to neuro mediated hypotention, but a study has reported a higher incidence of SOTS (at 28%) compared to NMH (at 24%) in the CFIDS population. (48% had a healthy response to standing) It seems that a common system malfunction is taking place in all three orthostatic syndromes. Researchers speculate that PWC's have low blood volume and pooling of the blood in the legs. Possible reasons for this abnormality could stem from miscommunication between the heart and the brain or damage to the long nerves responsible for blood vessel contriction. It is also assumed that low blood volume contibutes to cardiac abnormalities because of the reduced amount of blood in the heart.

91. ORTHOSTATIC HYPOTENSION
Side effects may include tachycardia, tremor and postural vertigo and impaired vasoreflexes caused by a orthostatic hypotension from sympathetic denervation in
http://www.parkinson.org/orthohypotension.htm
ORTHOSTATIC HYPOTENSION
Timothy C. Hain, MD. Please read our Return to Index . Content last updated: 12/2002 Orthostasis means upright posture, and hypotension means low blood pressure. Thus, orthostatic hypotension consists of symptoms of dizziness, faintness or lightheadedness which appear only on standing, and which are caused by low blood pressure. Only rarely is spinning vertigo caused by orthostasis. Symptoms that often accompany orthostatic hypotension include chest pain, trouble holding the urine, impotence, and dry skin from loss of sweating.
What Causes Orthostatic Hypotension ?
Blood pressure is maintained by a combination of several things. The heart is the central pump, and a weak or irregular heart can cause orthostasis. Conditions such as arrhythmia, heart failure, deconditioning, and pregnancy are examples where the heart may not be up to the task of providing an adequate blood pressure. The heart pumps blood, and if there is too little blood volume (anemia, dehydration, dialysis), the pressure drops. The blood vessels in the body also can squeeze (constrict) to raise blood pressure, and if this action is paralyzed, blood pressure may fall. Numerous medications affect blood vessels including most of the medications used for blood pressure, and many of the medications used in psychiatry and for anginal heart pain. Heat, such as a hot shower or from a fever can also dilate blood vessels and cause orthostasis. The nervous system senses and responds to regulate blood pressure. If something is wrong in this control system, blood pressure may fluctuate.

92. BioMed Central | Full Text | Treatment Of Postural Orthostatic Tachycardia Syndr
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93. Gimenei >> Health >> Conditions_and_Diseases >> Neurological_Disorders >> Dysaut
tachycardia HeartCenterOnline American Heart Association member edited encyclopedia - the most comprehensive resource dedicated exclusively to heart health
http://www.gimenei.com/directory/top/Health/Conditions_and_Diseases/Neurological
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Health Conditions and Diseases Neurological Disorders ... Dysautonomia Postural Orthostatic Tachycardia Syndrome Music: Beethoven: 9 Symphonien
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