Postural Orthostatic Tachycardia Syndrome (POTS): Assess, Diagnose, and Evaluate for POTS Treatment (ADEPT)

Schmidt, Lisa L.; Karabin, Beverly; Malone, Audra

doi:10.1159/000484205

Cited by 8 publications

(29 citation statements)

References 40 publications

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“…These symptoms disappear or improve upon lying down but mimic those of anxiety. Hence, it is no surprise that patients affected by OI have been misdiagnosed with anxiety [86]. The HADS has been used in several ME/CFS studies and all three instruments focus on affective rather than somatic symptoms, thus reducing the risk of overdiagnosing psychiatric disorders.…”

Section: How Can Risk Be Further Evaluated Especially For Patients Deemed To Be At Moderate Risk?mentioning

confidence: 99%

Identifying and Managing Suicidality in Myalgic Encephalomyelitis/Chronic Fatigue Syndrome

et al. 2021

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Adult patients affected by myalgic encephalomyelitis/chronic fatigue syndrome (ME/CFS) are at an increased risk of death by suicide. Based on the scientific literature and our clinical/research experiences, we identify risk and protective factors and provide a guide to assessing and managing suicidality in an outpatient medical setting. A clinical case is used to illustrate how information from this article can be applied. Characteristics of ME/CFS that make addressing suicidality challenging include absence of any disease-modifying treatments, severe functional limitations, and symptoms which limit therapies. Decades-long misattribution of ME/CFS to physical deconditioning or psychiatric disorders have resulted in undereducated healthcare professionals, public stigma, and unsupportive social interactions. Consequently, some patients may be reluctant to engage with mental health care. Outpatient medical professionals play a vital role in mitigating these effects. By combining evidence-based interventions aimed at all suicidal patients with those adapted to individual patients’ circumstances, suffering and suicidality can be alleviated in ME/CFS. Increased access to newer virtual or asynchronous modalities of psychiatric/psychological care, especially for severely ill patients, may be a silver lining of the COVID-19 pandemic.

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Section: How Can Risk Be Further Evaluated Especially For Patients Deemed To Be At Moderate Risk?mentioning

confidence: 99%

Identifying and Managing Suicidality in Myalgic Encephalomyelitis/Chronic Fatigue Syndrome

et al. 2021

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“…According to American College of Cardiology and American Heart Association recommendations, resting blood pressure >180/120 mmHg is defined as hypertensive and should be see a doctor ( Whelton et al, 2018 ). In addition, postural orthostatic tachycardia syndrome is assessed by resting heart rate ≥120 beats per min ( Schmidt, Karabin & Malone, 2017 ). Therefore, these conditions were excluded in the present study.…”

Section: Methodsmentioning

confidence: 99%

Depression and low physical activity are related to sarcopenia in hemodialysis: a single-center study

Yuenyongchaiwat

Jongritthiporn

Somsamarn

et al. 2021

PeerJ

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Background The number of patients who suffer from chronic renal failure (CRF) has widely increased worldwide. Patients with advanced stages of CRF experience a gradual and progressive loss of muscle and fat mass leading to decreased physical activity and mental health problems. The loss of muscle mass in CRF might contribute to the development of sarcopenia. Therefore, this study aimed to explore the prevalence of sarcopenia and to determine the relationship of physical activity and mental state of depression with sarcopenia in hemodialysis patients. Methods A cross-sectional study was designed with a total of 104 male and female with a minimum age of 35 years. Based on the guidelines of the Asian Working Group for Sarcopenia in 2019, gait speed, muscle mass, and handgrip were used to define sarcopenia. In addition, participants were requested to perform a set of questionnaires to evaluate their physical activity and state of depression. Logistic regression analyses were used to explore the risk factors of sarcopenia. Results Thirty-four (32.69%) of 104 participants had sarcopenia. Compared to the 70 individuals without sarcopenia, they had a low physical activity and a high depression score (ps < .05). Furthermore, low physical activity and high depression scores in combination with sarcopenia were associated with an increased mortality risk. Low physical activity and high depression scores were also independently associated with sarcopenia in hemodialysis patients after controlling for age (odds ratio = 3.23, and 4.92, respectively).

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“…7,11 Despite the increased prevalence of POTS reported over the past 2 decades due to the increased awareness of this syndrome, 1 it is still considered an underdiagnosed disease and deserves more attention from clinicians. 4,12 lowing criteria are fulfilled: HR increment of ≥ 30 beats/min (or ≥ 40 beats/min in individuals aged 12-19 years) within 10 minutes of standing or head-up tilting, and in the absence of orthostatic hypotension (a decrease in systolic blood pressure [BP] of ≥ 20 mmHg and/or decrease in diastolic BP of ≥ 10 mmHg) and other causes of tachycardia. 13,14 However, there are challenges associated with diagnosing POTS.…”

Section: Introductionmentioning

confidence: 99%

“…1 Many POTS patients complain of headache, depression, fatigue, difficulty concentrating, and gastrointestinal disturbances such as abdominal pain and irregular bowel movements. 12,15 Therefore, an accurate POTS diagnosis requires a detailed knowledge of the history of the patient's symptoms.…”

Section: Introductionmentioning

confidence: 99%

Updates in postural tachycardia syndrome

Moon¹

2021

ACN

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Postural Orthostatic Tachycardia Syndrome (POTS): Assess, Diagnose, and Evaluate for POTS Treatment (ADEPT)

Cited by 8 publications

References 40 publications

Identifying and Managing Suicidality in Myalgic Encephalomyelitis/Chronic Fatigue Syndrome

Identifying and Managing Suicidality in Myalgic Encephalomyelitis/Chronic Fatigue Syndrome

Depression and low physical activity are related to sarcopenia in hemodialysis: a single-center study

Updates in postural tachycardia syndrome

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