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Postural Orthostatic Tachycardia Syndrome

Postural Orthostatic Tachycardia Syndrome (POTS)

POTS is a disorder that has orthostatic intolerance as its most common symptom. When you have POTS, most of your blood stays in the lower part of your body when you stand up. Subsequently, this makes your heart beat faster to try and increase blood to your brain. As this happens your blood pressure can drop causing you to feel dizzy, blurry vision, nausea, vomiting or brain fog. Symptoms can occur with prolonged standing, feeling stressed or after eating.

The cause for POTS is still unclear. It is felt to impact between 1-3 Million Americans. However, there has been recent evidence that POTS may be caused by Pelvic Venous Insufficiency or Pelvic Congestion Syndrome.

Signs of Postural Orthostatic Tachycardia Syndrome

  • Increase in Heart Rate by 30 BPM over 120 BPM within the first 10 minutes upon standing without orthostatic hypotension
  • Positive Tilt Table Test

Symptoms of Postural Orthostatic Tachycardia Syndrome

  • Extreme Tiredness
  • Dizziness When Standing
  • Lightheadedness
  • Heart Palpitations
  • Shortness of Breath
  • Anxiety
  • Nausea
  • Blurred Vision
  • Poor Concentration

How is POTS Syndrome Diagnosed?

At Advanced Vein Solutions and Cardiovascular Health Clinic we are composed of vascular specialist and cardiologist who are trained in the diagnosis and treatment of POTS.

POTS Treatment Options

Typical Postural Orthostatic Tachycardia Syndrome treatment options include:

  • Increasing fluid intake
  • Increasing salt consumption
  • Wearing Compression Stockings
  • Raising the head of the bed
  • Avoiding substances and situation that worsen symptoms
  • Numerous different medications

What About Pelvic Congestion Syndrome?

If you suffer from PoTS syndrome, there is recent data that suggest symptoms may be secondary to pelvic congestion syndrome, aka pelvic venous insufficiency. We have found that many patients have May-Thurner, venous compression syndrome, causing varicosities within the pelvis and pooling of blood. This pooling of blood in the pelvis may make it difficult to obtain adequate blood return to the brain causing associated symptoms. We have found a high success rate of treating PoTS upon treatment of underline pelvic venous insufficiency.

Evaluation involves clinic consultation followed by CT of the abdomen and pelvis. If underlying May-Thurner and pelvic varicosities are demonstrated, patient will undergo pelvic venogram with treatment of underlying venous disease which may include, stenting of common iliac vein stenosis and/or embolization of abnormal varicose veins within the pelvis.

Patient Resources

We’re committed to timely, efficient, and affordable care.
Here is a collection of useful resources our new and existing patients need in one convenient location.
Please let us know if you need additional information or have any questions.


Professional staff working in a beautiful facility with great doctors who sincerely care about their patients. Without Dr. Schmidt's skill, I would have needed heart bypass surgery instead of a stent. Follow-up has been thorough. I can't recommend them highly enough.
LeAnn Harner

Dr. Jim Melton and all the staff are fantastic. He is an excellent surgeon and his team is GREAT!!!! I just had surgery at the surgery center, I have only great things to say about my experience. Without him I really don't think I would be here to write this. If you’re looking for a good cardiovascular team, they are a 5 star for sure.

Susie Brooks Harrison

Dr. Parsons and staff are amazing. He truly listened to me from the consult. Staff showed genuine care for my progress post procedure. I had my follow up appointment today so satisfied with results. Blake made me comfortable from the start. He is an activist for uterine fibroids treatment beyond the standard.

Tamara Means

Professional and caring staff. Dr. Smith is very knowledgeable and shows genuine concern for your personal health. I enjoyed the background music in the procedure room, it really adds to the relaxing atmosphere.

David Lambert

Dr. John Schrader is the most personable doctor we know. He stays on top of my dads health care and is genuinely concerned about his health. We never leave his office with questions. He answers them all. Even questions we don’t think of. Always professional but never cold or bad bedside manner. In our opinion he is THE BEST around.
Thank you Dr Schrader.

Kathy J

I came to Dr. Warren by a self referral for mals when it took me 8yrs 50+ doctors and thousands of dollars spent on no answers. My first visit I was scared I was just going to be gaslighted just like the past however I was pleasantly shocked when Dr. Warren immediately believed me. She took the time to review many disk I had brought from past tests. She never once dismissed me and listened to ever word I had to say. She scheduled one last test to confirm the diagnosis then I was scheduled for surgery right away. Surgery was a success and I can’t thank her and her staff enough. Dr. Warren truly saved my life.

Angie W

Dr. Garner literally saved my life 18 months ago and I've followed him to his new practice with Cardiovascular Health. He explains things so clearly, listens and is just a very nice person. His staff is great, too! I highly recommend!

D Watts

Some of the nicest staff that I have ever dealt with!! They have been so incredibly awesome to my mom!! Would definitely recommend them to anyone!! Thank you so much for being so great with her!!

Christy Garvie

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