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What treatments options may be considered in patients with POTS who also need daily diuretics to treat heart failure and are already wearing compression garments?

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What treatment options do you consider for patients with POTS who also need daily diuretics to treat heart failure and are already wearing compression garments?

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3 Answers
Mednet Member
Mednet MemberInvited Expert
Cardiology · Vanderbilt Heart And Vascular Institute
Answered on

Given the epidemiology of POTS and congestive heart failure, you are far more likely to see a patient with neurogenic orthostatic hypotension and CHF than POTS and CHF. I have an article on NOH and CHF in Autonomic Neuroscience 2020.

The principals are basically the same however because the managem...

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Mednet Member
Mednet MemberInvited Expert
Cardiology · Washington University School of Medicine
Answered on

Dr. @Dr. First Last already has listed an excellent answer. So, I will only add some brief comments. Your question has unspoken nuances to it - does the patient have diastolic or systolic heart failure? Is it truly POTS or orthostatic hypotension as Dr. Muldowney suggested? Orthostasis will certainl...

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Mednet Member
Mednet Member
Cardiology · Centro Cardiovascular
Answered on

I do not use midodrine.

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