Compression Garment Reduces Orthostatic Tachycardia and Symptoms in Patients With Postural Orthostatic Tachycardia Syndrome

Diagnosis and management of postural orthostatic tachycardia syndrome

“…Compression garments for the lower body can mitigate the gravity-induced fluid shifts that occur on standing, and decrease orthostatic tachycardia and standing tachycardia as shown in a 2021 randomized crossover study of lower body compression during tilt table testing in patients with POTS. 42 Compression of the abdomen and the legs appeared to be more effective than compression of legs alone. 42 The findings of a 2010 case-control intervention study suggest that regular, nonupright exercise with a focus on aerobic reconditioning improves cardiovascular hemodynamics and symptoms in patients with POTS.…”

“…42 Compression of the abdomen and the legs appeared to be more effective than compression of legs alone. 42 The findings of a 2010 case-control intervention study suggest that regular, nonupright exercise with a focus on aerobic reconditioning improves cardiovascular hemodynamics and symptoms in patients with POTS. 26 However, experts suggest that patients may initially feel worse and may not improve for a month.…”

Postural orthostatic tachycardia syndrome (POTS): State of the science and clinical care from a 2019 National Institutes of Health Expert Consensus Meeting - Part 1

“…Further research is needed to establish the true therapeutic benefit of salt loading and the optimal sodium intake. In addition to increased water and sodium intake, measures to reduce venous pooling in the lower limbs or splanchnic circulation can be accomplished using waist-high compression stockings with or without abdominal compression (Bourne et al, 2021b), or with an abdominal binder alone (Smith et al, 2020).…”

Post-COVID-19 Tachycardia Syndrome: A Distinct Phenotype of Post-Acute COVID-19 Syndrome

“…Current treatment of postural orthostatic tachycardia syndrome includes the selective sinus node inhibitor ivabradine ( 23 ), β−blockers ( 9 ) and compression garments ( 24 ) to stabilize cardiovascular regulation. Other pharmacological options to reduce associated symptoms are midodrine (symptoms of low blood pressure or cerebral hypoperfusion; peripheral blood pooling), pyridostigmine (muscle weakness; associated gastrointestinal dysfunction) and modafinil (brain-fog) ( 25 ).…”