Additional Autonomic Tests

The physiology of postural tachycardia syndrome or PoTS is complex and is poorly understood. The magnitude of tachycardia depends on natural and normal compensatory requirement in response to orthostatic challenges. Other contributions come from the inotr

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Postural Tachycardia Syndrome

Nicholas Gall · Lesley Kavi · Melvin D. Lobo Editors

Postural Tachycardia Syndrome A Concise and Practical Guide to Management and Associated Conditions

Editors Nicholas Gall King’s College Hospital London, UK Melvin D. Lobo Barts NIHR Biomedical Research Centre, William Harvey Research Institute, Queen Mary University of London London, UK

Lesley Kavi Faculty of Health, Education and Life Sciences, Birmingham City University Birmingham, UK

ISBN 978-3-030-54164-4 ISBN 978-3-030-54165-1  (eBook) https://doi.org/10.1007/978-3-030-54165-1 © Springer Nature Switzerland AG 2021 This work is subject to copyright. All rights are reserved by the Publisher, whether the whole or part of the material is concerned, specifically the rights of translation, reprinting, reuse of illustrations, recitation, broadcasting, reproduction on microfilms or in any other physical way, and transmission or information storage and retrieval, electronic adaptation, computer software, or by similar or dissimilar methodology now known or hereafter developed. The use of general descriptive names, registered names, trademarks, service marks, etc. in this publication does not imply, even in the absence of a specific statement, that such names are exempt from the relevant protective laws and regulations and therefore free for general use. The publisher, the authors and the editors are safe to assume that the advice and information in this book are believed to be true and accurate at the date of publication. Neither the publisher nor the authors or the editors give a warranty, expressed or implied, with respect to the material contained herein or for any errors or omissions that may have been made. The publisher remains neutral with regard to jurisdictional claims in published maps and institutional affiliations. This Springer imprint is published by the registered company Springer Nature Switzerland AG The registered company address is: Gewerbestrasse 11, 6330 Cham, Switzerland

Foreword

Postural Tachycardia Syndrome is common, distressing, and has symptoms reaching far beyond simple postural tachycardia. Fortunately, we have seen recent rapid progress in studies of its origin and pathogenesis. Similarly, progress in clinical management that was slow for many years, has accelerated considerably. There are even recent consensus statements from the Heart Rhythm Society and the Canadian Cardiovascular Society. However, these statements usually provide only simple and high-level directions on what should, could, and shouldn’t be done, without tools on how to actually do it. This beautiful and comprehensive volume fills the gap, with numerous chapters providing insight, wisdom, and tools to help assessment and care. Sir William Osler once wrote that a good physician treats the disease, but a great physician treats the patient who has the disease. The authors provide an all-round approach, from the initial clinical presentation by Dr. Gall to the crucial issue of psychological support for these all too often highly di

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