Sad news:
PC-POTS Update
Results from the Phase 2 ALPHA study of efgartigimod in post-COVID-19-mediated postural orthostatic tachycardia syndrome (PC-POTS) show that treated patients had no clinically meaningful improvement compared to placebo on the total Malmö POTS symptom (MaPS) score and...
Yes that is probably an issue and your own measurements show that very clearly: there seems to be a large inter-individual variability: one day you have increases with 45, other times only 11 bpm.
Some argued that orthostatic tachycardia measurements during standing or tilt testing are a bit...
@Nightsong Do you know of any studies that measured the prevalence of POTS among OI patients? For example: clinics that report the % of POTS in the patients with OI that get referred to them.
I found this one paper that says that only 19% of their OI patients fulfilled POTS criteria.
Patients...
I think the conclusion is more that POT may not be relevant to the symptoms POTS patients experience. Orthostatic tachycardia seems to have a very weak relationship with orthostatic symptoms.
Yes unfortunately, they do not report how many students had more than 40 bpm HR changes as that would give an indication of the current threshold. They only report the median (20) range (-15 + 61) and 2.5% (-1) and 97.5% (48) quartiles and mention that 23% had a HR increase of more than 30 bpms...
Thanks, it all seems to point to the same researcher: Phillip A. Low at the Mayo Clinic.
Phillip A. Low, M.D. - Doctors and Medical Staff - Mayo Clinic
Same finding here: 9 of the 15 controls (60%) had an HR increase that was higher than 30 bpm after 10 minute passive tilt table testing. With a 10 minute standing test, 5 (33%) met the POT criterium.
They proposed to increase the HR cutoff to 37 bpm which resulted in a sensitivity of 40% and a...
I suspect that study forms the justification for the > 40 bpm threshold for children, even though it showed that 5% of healthy controls had a HR increase higher than 42 bpm.
The study not included healthy controls but also more than 600 children who were referred with diagnoses of orthostatic...
This abstract from a German study did 10 repeated tests and found that it did not lead to stable results.
Intra- and interindividual reproducibility of heart rate variations in the tilt-table test - PubMed (nih.gov)
Thanks to @SNT Gatchaman for helping me out.
In the study they had a control group of 20 men and 21 women aged 20 to 50 years. For the control group they report that "between the second and third minute of tilt, HR increased by 20.1 ± 8.9 bpm in men versus 14.8 ± 8.1 bpm in women." So it seems...
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