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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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Cardiology · Vanderbilt Heart And Vascular Institute

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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Cardiology · Washington University School of Medicine

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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Cardiology · Centro Cardiovascular

I do not use midodrine.

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