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Compression Garment Reduces Orthostatic Tachycardia and Symptoms in Patients With [POTS], 2021, Bourne et al

Discussion in 'Health News and Research unrelated to ME/CFS' started by mango, Sep 14, 2021.

  1. mango

    mango Senior Member (Voting Rights)

    Messages:
    1,596
    Compression Garment Reduces Orthostatic Tachycardia and Symptoms in Patients With Postural Orthostatic Tachycardia Syndrome

    Kate M. Bourne et al

    "Abstract

    Background

    Postural orthostatic tachycardia syndrome (POTS) is a chronic form of orthostatic intolerance associated with a significant symptom burden. Compression garments are a frequently prescribed treatment, but the effectiveness of waist-high compression has not been evaluated in adults with POTS.

    Objectives
    This study evaluated compression garments as a treatment for POTS using a head-up tilt test (HUT), and a noninflatable core and lower body compression garment.

    Methods
    Thirty participants completed 10-min HUT with each of 4 compression conditions in a randomized crossover design. The conditions were no compression (NONE), lower leg compression (LEG), abdominal/thigh compression (ABDO), and full abdominal/leg compression (FULL). Heart rate, beat-to-beat blood pressure, and Vanderbilt Orthostatic Symptom Score ratings were measured during each HUT.

    Results
    The compression garment reduced heart rate (NONE: 109 ± 19 beats/min; LEG: 103 ± 16 beats/min; ABDO: 97 ± 15 beats/min; FULL: 92 ± 14 beats/min; p < 0.001) and improved symptoms (p < 0.001) during HUT in a dose-dependent manner. During HUT, stroke volume and systolic blood pressure were better maintained with FULL and ABDO compression compared with LEG and NONE compression.

    Conclusions
    Abdominal and lower body compression reduced heart rate and improved symptoms during HUT in adult patients with POTS. These effects were driven by improved stroke volume with compression. Abdominal compression alone might also provide a clinical benefit if full lower body compression is not well tolerated. (Hemodynamic Effects of Compression in POTS;"

    https://www.jacc.org/doi/10.1016/j.jacc.2020.11.040
     
    Wyva, Yvonne, Trish and 7 others like this.
  2. Trish

    Trish Moderator Staff Member

    Messages:
    35,720
    Location:
    UK
    I wonder whether there were fewer POTS cases in women who wore tight corsets.
     
    Wyva, Keela Too, Yvonne and 6 others like this.
  3. Ryan31337

    Ryan31337 Senior Member (Voting Rights)

    Messages:
    288
    There's a useful presentation on this study from the authors here:

    For what its worth I've been using abdominal compression for a while now and I find it particularly useful after meals, especially if I'm stationary, sitting at my desk. It feels like I can work for longer with it on and I don't find it massively uncomfortable or restrictive.

    From the video:

    upload_2021-9-14_19-20-24.png
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    upload_2021-9-14_19-21-16.png


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    upload_2021-9-14_19-21-29.png

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    upload_2021-9-14_19-20-43.png
     
    Wyva, Yvonne, mango and 2 others like this.
  4. Sly Saint

    Sly Saint Senior Member (Voting Rights)

    Messages:
    6,662
    Location:
    UK
    i remember reading about the proposal for support tights 20 years ago in an AfME mag.
     
  5. LisaG

    LisaG Established Member

    Messages:
    16
    I wear them and they help to stop fluid pooling in my legs. I also sleep with my head raised - have done for years - as this helped POTS.
    I'd love a full body compression suit - legs up to chest. I think they do them for astronauts?!
     
    Yessica, Peter Trewhitt, Wyva and 4 others like this.
  6. Keela Too

    Keela Too Senior Member (Voting Rights)

    Messages:
    987
    Location:
    Sally Burch - Northern Ireland
    This is very interesting. I use compression wear, and swear it helps keep me functioning longer.

    Mostly I’ve just been using the socks, but after reading this last week, I dug out my compression leggings again (they come up quite high over my belly too) and used them at an event over this past weekend.

    So, I do agility with my dogs. I don’t run, but I put in a load of effort for the 45 seconds or so we are in the ring together.

    I am almost always light-headed as I exit, and I usually wobble a bit before plonking into a deckchair that I leave by the exit. After 5 or 10 mins with my head down, I start to feel back my normal again, though my heart rate takes longer to steady. (Friends know to leave me in peace during this time & my dogs just wait with me. :) )

    I’ve no doubt that this is the biggest risk I take with ME, but remarkably I seem to manage this sort of event better than social situations, where I can crash out quite fast, and take longer to come round, and have more PEM afterwards. Why is that? Who knows!.

    Perhaps it is the very short duration of this effort, and the various mitigations I take that help me to cope? So here’s what I think helps:
    - compression socks
    - compression leggings (and yes, these were an improvement over the socks only, though they are icky uncomfortable to wear all day!)
    - electrolyte drinks
    - coffee
    - I don’t eat before competing. (I’ve tested eating/not eating & definitely the latter is better for me.)
    - earplugs - worn all day to reduce the background noise of dogs etc
    - hat to reduce effect of light
    - I socialise very little, and rest up in our camper van between rounds.
    - I take planned rest in the days before/after (my husband always does all the dog-walking)
    - ibuprofen taken on the day- I think it helps to reduce PEM later (which is currently fairly well managed ;) )

    I guess I’m a bit mad doing this, but it was the first thing I wanted to do once I could walk about some more after my improvements in 2016. I have been training & competing since then.

    It is what makes my heart sing:



    PS Two clips here 1st one of Finn my older dog (he’s the one who cuddled up to me during my worst times prior to 2016) and then the wild child Bean (who actually won his class with this round :) ).
     
  7. Keela Too

    Keela Too Senior Member (Voting Rights)

    Messages:
    987
    Location:
    Sally Burch - Northern Ireland
    Yup… me too. Even have our camper van rigged up so that I can elevate my head. It’s also useful for heart-burn, so I did this through my pregnancies too, long before ME hit. :)
     
    Yessica, Peter Trewhitt and Trish like this.

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