Postural Orthostatic Tachycardia Syndrome Misdiagnosed as Anxiety: A Case Report with a Review of Therapy and Pathophysiology

Kesserwani, Hassan

doi:10.7759/cureus.10881

Cited by 9 publications

(12 citation statements)

References 17 publications

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“…POTS is especially common in younger women and it is frequently undiagnosed or misdiagnosed as anxiety for several years before correct diagnosis. 59 …”

Section: Discussionmentioning

confidence: 99%

Self-Reported Time to Diagnosis and Proportions of Rediagnosis in Female Patients with Chronic Conditions in Australia: A Cross-sectional Survey

Merone

Tsey

Russell

et al. 2022

Women's Health Reports

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Background: The diagnosis of chronic conditions in women is complicated by the historical androcentricity in medical research. Sex and gender gaps in health research may translate to unequal healthcare for women. This cross-sectional survey study aimed to ascertain the median time to diagnosis, proportions of rediagnosis and time to rediagnosis for Australian women with chronic conditions. Methods: An online survey collected anonymous data from voluntary participants. Data were analyzed using Stata14. Cox Proportional Hazards model was used to analyze time to diagnosis and rediagnosis. Logistic regression analysis was used to assess the significance of rediagnosis rates by diagnosis, age at diagnosis, income, employment, state of residence, disability status, and Indigenous status. Results: The median time from first appointment to initial diagnosis was 6 months (range 1 day–50 years) (interquartile range [IQR] 3.74 years). The median time to rediagnosis was 4 years (IQR 9) with a range of 1 day–43 years. Almost half of the women ( n = 161/343, 47%) reported their primary condition being rediagnosed. From the complete responses, 40% were rediagnosed from one organic condition to another organic condition, however, 32% of women originally diagnosed with psychological, medically unexplained syndromes, or chronic pain were later rediagnosed with organic conditions. Conclusion: Median wait times for a diagnosis for women in Australia, when factoring in high rates of rediagnosis and time to rediagnosis, was 4 years. It is important that clinicians are aware of the high rediagnosis rates in female patients with chronic conditions and understand the potential impact of systemic biases on the diagnostic process for women under their care.

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“…POTS is especially common in younger women and it is frequently undiagnosed or misdiagnosed as anxiety for several years before correct diagnosis. 59 …”

Section: Discussionmentioning

confidence: 99%

Self-Reported Time to Diagnosis and Proportions of Rediagnosis in Female Patients with Chronic Conditions in Australia: A Cross-sectional Survey

Merone

Tsey

Russell

et al. 2022

Women's Health Reports

View full text Add to dashboard Cite

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“…Anxiety is a common comorbidity, but differentiating the cause is an important aspect of well-rounded treatment. Anxiety produced by dysautonomia can differ from psychological anxiety, mimicking a hyperadrenergic response 47. Additional research is needed regarding anxiety and SJH comorbidities, but the psychosocial impact on pain and chronic illness are well established.…”

Section: Psychosocial Approachmentioning

confidence: 99%

“…Anxiety produced by dysautonomia can differ from psychological anxiety, mimicking a hyperadrenergic response. 47 Additional research is needed regarding anxiety and SJH comorbidities, but the psychosocial impact on pain and chronic illness are well established. This aspect of treatment should be taken into consideration to reduce magnified experiences with pain and to improve the ability to cope with complex medical conditions.…”

Section: Topics In Pain Managementmentioning

confidence: 99%

Hope for Hypermobility: Part 2—An Integrative Approach to Treating Symptomatic Joint Hypermobility

Daylor¹,

Gensemer²,

Norris³

et al. 2023

Topics in Pain Management

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designates this enduring material for a maximum of 1.5 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity. To earn CME credit, you must read the CME article and complete the quiz and evaluation assessment survey on the enclosed form, answering at least 70% of the quiz questions correctly. This CME activity expires on March 31, 2025. NCPD AccreditationLippincott Professional Development is accredited as a provider of nursing continuing professional development (NCPD) by the American Nurses Credentialing Center's Commission on Accreditation. Lippincott Professional Development will award 2.5 contact hours for this NCPD activity. This activity is also provider approved by the California Board of Registered Nursing, Provider Number CEP 11749 for 2.5 contact hours. Lippincott Professional Development is also an approved provider of continuing nursing education by the District of Columbia, Georgia, West Virginia, New Mexico, South Carolina, and Florida, CE Broker #50-1223. Your certificate is valid in all states. Instructions for earning ANCC contact hours are included on page 11 of the newsletter. This NCPD activity expires on March 6, 2026.

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“…Historically, women's health problems have been attributed to either their reproductive organs or their mental health, 37 and these myths are observed in modern medicine; women are more likely than men to be discharged during serious medical events, 39 and to have their physical symptoms attributed to mental illnesses. 40 , 41 …”

Section: Androcentricity and Ebmmentioning

confidence: 99%

Evidence-Based Medicine: Feminist Criticisms and Implications for Women's Health

Merone

Tsey

Russell

et al. 2022

Women's Health Reports

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Evidence-based medicine (EBM) dates back to 19th-century Paris and started out as a new paradigm for practicing medicine, with the aim of replacing anecdote with high-quality evidence from positivist-style research. Despite the clear logic underpinning EBM, there have been numerous criticisms, including maintenance of an archaic view of evidence as “facts,” failure to acknowledge that all research is underpinned by the beliefs of the researcher, and the simple fact that medical research has historically been androcentric and results generalized to female patients. In this essay, we discuss the criticisms of EBM, with a focus on feminist critiques based on three central feminist epistemologies: feminist empiricism, standpoint theory, and social constructivism. We argue that EBM potentially perpetuates gaps in women's health and advocate for incorporating feminist epistemologies into future medical research to garner further understanding of social influences on women's health. In addition, we argue that EBM may degrade the clinical acumen and that critical thinking should become a key component of medical school curricula.

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Postural Orthostatic Tachycardia Syndrome Misdiagnosed as Anxiety: A Case Report with a Review of Therapy and Pathophysiology

Cited by 9 publications

References 17 publications

Self-Reported Time to Diagnosis and Proportions of Rediagnosis in Female Patients with Chronic Conditions in Australia: A Cross-sectional Survey

Self-Reported Time to Diagnosis and Proportions of Rediagnosis in Female Patients with Chronic Conditions in Australia: A Cross-sectional Survey

Hope for Hypermobility: Part 2—An Integrative Approach to Treating Symptomatic Joint Hypermobility

Evidence-Based Medicine: Feminist Criticisms and Implications for Women's Health

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