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michealdul

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  1. Thank´s for your replies! During the test I became shaky, but I did not faint. I had strong cravings to move my legs but was told not to move. I felt better after sitting down later. I am wondering if there is other diagnostic criteria for the so called poor mans´s test and the classic tild table test? Or do they both require a >30bpm or >120bpm heart rate during the test?
  2. My local doctor does not have special experiences with Dysautonomia but agreed about a stand up test (blood pressure + heart beat control) lasting for 12min. He normally does simple blood pressure tests but already heard about abnormal autonomic nervous system reactions. He informed himself and said a simple stand up test (standing freely supporting myself with my leg muscles vs. being bound to a table) would be useful. So I was lying down ( 112:85 and HB 66). Then I stood up and standing incative for 12 minutes he checked pressure and heart beat for 15min every 3min ( 114: 86: HB 95, 118:85 HB 101, 117:81 HB 97, 112: 79 HB 98). Is the simple stand up test a proper physical examination or should I repeat with a head-up tilt table test?
  3. Hi, I had an +39 bpm increase in hear rate at the tild table after 2min (from 70 lying to 109 standing). Though after 4min my heart rate went down to 81 bpm. Unfortunately my doctor does not really have much experience with POTS/Dysautonomia. He argues that this is not a POTS diagnose. A strong increase of heart rate, but not a sustained one. Reading different medical papers about POTS I realize some researchers mention a sustained increase some researchers just talk about an increase >30 bpm. What is the precise definiton of the POTS diagnose? How "sustained" does the increase of heart rate have to be?
  4. That means a single rise of more than 30 bpm in heart rate - even if the heart rate falls down fast after 1-2 min. - would be recognized as POTS? Healthy persons would never have a rise of 30 bpm or more, that is what I understand?
  5. Hi there, reading about the diagnosis of Postural Orthostatic Tachycardia Syndrome I got a little bit confused about the exact definition. Key is the increased heart rate of more 30 bpm within 10 min or alternatively more than 120 bpm in total. I am wondering "for how long" does the heart rate has to stay at the elevated level? Does every healthy person has an increased heart rate after standing up? Has the increase in heart rate to be somehow "sustained" to suggests PoTS? If so, what is sustained?
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