Postural orthostatic tachycardia syndrome (POTS) is a complex autonomic nervous system disorder marked by a rapid heart rate increase and symptoms like lightheadedness upon standing. At St. Louis Vascular Surgical Specialists, led by board-certified vascular surgeon Dr. Robert Hacker, patients receive expert care and guidance to manage POTS through personalized treatment plans and advanced diagnostic techniques.
Pots (Postural Orthostatic Tachycardia Syndrome): An Overview
Postural orthostatic tachycardia syndrome (POTS) is a condition that affects the autonomic nervous system and is characterized by an excessive increase in heart rate upon standing. It commonly presents with symptoms such as lightheadedness, dizziness, fatigue, palpitations, and sometimes fainting. POTS can significantly impact daily activities, as simple actions like standing or walking can trigger debilitating symptoms. While its exact cause is not always clear, POTS is often associated with underlying conditions like autoimmune disorders, Ehlers-Danlos syndrome, or prolonged bed rest.
At St. Louis Vascular Surgical Specialists, we are dedicated to providing individualized care for POTS. Under the leadership of Dr. Hacker, a board-certified vascular surgeon, we utilize advanced diagnostics and create tailored treatment plans to manage symptoms, enhance quality of life, and address any underlying conditions contributing to POTS.
Potential Symptoms of POTS:
- Rapid heart rate increase upon standing (tachycardia)
- Lightheadedness or dizziness
- Fatigue and exercise intolerance
- Heart palpitations or irregular heartbeat
- Nausea and gastrointestinal discomfort
- Fainting or near-fainting episodes (syncope)
- Difficulty concentrating (“brain fog”)
- Headaches or migraines
- Tremors or shakiness
- Chest pain or shortness of breath
- Coldness, pain, or discoloration in extremities (e.g., legs turning reddish-purple upon standing)
- Sweating abnormalities or temperature regulation issues
- Worsening symptoms with prolonged standing or heat exposure
The relationship between PCS and POTS
Postural Orthostatic Tachycardia Syndrome (POTS) and Pelvic Congestion Syndrome (PCS) are two distinct conditions, but recent research suggests that they can be connected. While POTS can have many causes, studies show that some cases may be linked to underlying pelvic venous issues, such as May-Thurner syndrome. These conditions lead to venous congestion within the pelvis, contributing to the formation of varicosities (enlarged veins) and blood pooling.
The pooling of blood in the pelvic veins can disrupt the body’s ability to return blood effectively to the heart and brain, particularly when transitioning from a seated or lying position to standing. This can lead to symptoms like dizziness, lightheadedness, and fatigue, which are hallmark signs of POTS.
When blood struggles to circulate in the lower body, it creates challenges for maintaining adequate blood flow to the brain, which is crucial for overall function.
At St. Louis Vascular Surgical Specialists, we have observed a significant improvement in POTS symptoms following treatment for underlying pelvic venous insufficiency.
By addressing venous compression due to PCS and improving blood flow through procedures like ovarian vein embolization, we’ve seen a high success rate in managing both POTS and its associated symptoms, enhancing the quality of life for many patients.
Learn More About Pelvic Congestion
Personalized POTS Treatment Options at SVSS
At St. Louis Vascular Surgical Specialists, we understand that POTS affects every individual differently, requiring a personalized approach to care. Dr. Hacker is committed to providing comprehensive evaluations to address your unique symptoms and health needs. During your visit, Dr. Hacker will meet with you to discuss your medical history, assess your symptoms, and perform any necessary diagnostic tests, such as heart rate and blood pressure monitoring or advanced autonomic function tests.
Based on these findings, Dr. Hacker will create a custom treatment plan tailored specifically to you. Your plan may include lifestyle modifications, increased hydration, dietary adjustments, and exercises to improve circulation. When appropriate, medications or interventions to manage symptoms and address underlying causes will be incorporated. We aim to empower you with effective strategies to regain control of your health and quality of life.
Schedule your consultation with Dr. Hacker
St. Louis Vascular Surgical Specialists is led by Dr. Robert Hacker, a double board-certified general and vascular surgeon dedicated to treating diseases of the arteries, veins, and wounds, with a special focus on limb preservation. Dr. Hacker’s extensive training, including his vascular fellowship at the prestigious University of Pittsburgh, and his RPVI certification, ensures you receive expert care tailored to your needs. Schedule your consultation today to experience compassionate, personalized vascular care.
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At St. Louis Vascular Surgical Specialists, we are committed to providing accessible, high-quality care. We accept most major insurance plans to help meet your healthcare needs. For questions about coverage or to verify your insurance, please contact our office today.