Keywords

Postural orthostatic tachycardia syndrome (POTS), dysautonomia, orthostatic intolerance, adolescent, dizziness, fatigue, headaches, presyncope, intermittent symptoms, self-care strategies, patient education, resources, primary care providers (PCP)

Abstract

Postural Orthostatic Tachycardia Syndrome (POTS) is a debilitating chronic illness that involves a sustained tachycardia upon standing and affects millions of patients in the United States alone. POTS is most commonly seen in adolescent females and substantially reduces overall quality of life. In 2019, less than a third of all providers had heard of POTS and patients may wait over a decade for a proper diagnosis and treatment. With the intermittent and variable nature of symptoms, 83% of patients reported being misdiagnosed with a psychological condition before receiving a diagnosis of POTS. Understanding the relationship between autonomic compensation and hemodynamic stability can help a provider recognize and manage POTS. Nurse practitioners are especially suited to manage POTS because of their emphasis on creating a relationship with patients and emphasizing the importance of self-care. The purpose of this article is to provide nurse practitioners with a practical guide to recognizing, diagnosing, managing and educating patients with POTS.