The treatment of orthostatic intolerance (OI) and postural tachycardia syndrome (POTS) was the subject of Dr. Maier’s presentation. A detailed orthostatic medical history must be collected for diagnosis, combined with a standing test (active, passive or on a tilt table). In POTS, it is also important to rule out other disorders (e.g., low blood pressure, other autonomic nervous system disorders). To treat POTS, triggers must first be identified (alcohol, frequent lying down, large meals). Treatment approaches include drinking 2-3 litres of fluids per day, eating enough salt, and wearing compression stockings or an abdominal belt. For POTS without ME/CFS, further therapy recommendations include training the calf and abdominal muscles, as well as standing and endurance training. However, these recommendations are difficult or impossible for ME/CFS patients to implement. If symptomatic therapy does not help, medication can be used in very low doses.
This event item has no research projects linked or they are not public yet.