Description
Springer Postural Tachycardia Syndrome A Concise and Practical Guide to Management and Associated Conditions 1st Editon 2020 Hardbound by Nicholas Gall, Lesley Kavi, Melvin D. Lobo
This book describes the varying clinical manifestations of postural tachycardia syndrome (PoTS) and provides a robust yet practical set of clinical tools for those managing patients suffering with this syndrome. Guidance is provided by a range of disciplines relevant to PoTS including general and specialist assessments, associated conditions, diagnostic considerations, therapy and service models. Postural Tachycardia Syndrome: A Concise and Practical Guide to Management and Associated Conditions presents the scientific background and practical information for the busy medical professional, illustrating key features with care-based materials to help them manage this condition, which can be a challenge for patients and clinicians alike. Part I - Introduction.- POTS – an introduction.- What is it?.- Historical background.- Clinical presentation.- Specialties where patients may be seen.- Part II - Speciality Assessment.- Cardiological and neurological considerations.- Diagnostic criteria (not just a heart rate issue).- Pathophysiology and classification.- Tests to consider, are they useful, what do they show.- Cardiological – CPET, echo, holter etc.-Neurological – MRI, nerve conduction studies.- Autonomic.- The simple active stand / tilt.- Full autonomic function tests.- Red flag symptoms.- Cardiology.- Neurology – MS, myopathy, epilepsy.- Overlap conditions (mitral valve prolapse, IST).- Associated neurological conditions.- Migraine.- Sleep disturbance.- Part III - Associated Conditions.- Rheumatology.- Overlap with hypermobility conditions.- New consensus guidance on hypermobility.- When to consider serious hypermobility.- When to consider other inflammatory arthritides.- Overlap with fibromyalgia and CRPS.- Practical joint management including therapies.- Endocrinology.- What tests should we do to exclude an endocrine driver.- How can we recognise and treat the symptoms of reactive hypoglycaemia.- When do we need to consider referral to endocrinology.- Gastrointestinal manifestations.- Symptoms and causes.- What tests to do to exclude alternative conditions.- Simple and safe treatments that might help.- When to refer to the gastro’ clinic.- What treatment is instituted in the specialist clinic?.- Urology / Urogynaecology.- Potential symptoms.- When to consider referral?.- Investigations to consider.- Treatments.- Association with Histamine abnormalities.- Mast cell activation.- What is it?.- When does one consider it?.- What tests to do to define its presence?.- Can we treat it empirically without immunology review.- When to refer.- Audiovestibular medicine.- Recognising vertiginous contributions (migraine variant balance disorder).- When to refer and what to expect.- Part IV - Relevant Diagnostic Considerations.- Potential alternative causes.- Metabolic issues.- Lyme disease.- Chronic Fatigue syndrome.- Part V - Therapy.- Treatment.- Non-pharmacological – salt, fluid, compression.- Non-pharmacological – exercise.- Pharmacological – when and how to use it.- Midodrine.- Ivabradine.- Betablockers.- Fludrocortisone.- Octreotide.- Pyridostigmine.- Clonidine.- Others e.g. desmopressin, EPO, SSRI, IV fluid.- Assessing benefit.- Part VI - Relevant Therapeutic Associations .- Obstetrics / Gynaecology.- Are there links with endometriosis and PCOS?.- Who should be referred and when?.- Implications for pregnancy and its management.- Pelvic floor issues.- Anaesthetic management.- Anaesthetic considerations in POTS / EDS.- Respiratory medicine .- Hyperventilation is common – why and how to recognise it; why does it occur.- What clinical findings / tests can exclude other conditions.- When to refer to respiratory physio’.- What management can help hyperventilation.- When to consider respiratory medicine review.- Psychological contributors.- Functional symptoms.- Stress responses.- When to involve a psychologist / psychiatrist.- CBT and other therapies.- Part VII - Service Models.- Primary Care.- When to consider referral.- Pointers in the surgery to the diagnosis.- Tests to do first.- Challenges of referral.- Shared-care arrangements.- POTS clinics.- UK models of care KCH, NHNN, Sheffield, Newcastle, William Harv