Talk:Postural orthostatic tachycardia syndrome

message: I deleted the "Patient's Story" link, because it contained large sections copied from the POTS Place and POTSweb sites, and because it's a personal website (see Links normally to be avoided), and it requires a specific browser to display properly.
I've added the link to the POTSweb site because, although entitled "POTS, Patient's Report", the POTSweb site is a detailed, researched report. It provides references to peer-reviewed sources, and isn't a personal story. I believe it's a useful and significant resource to be included here. Amruk 03:17, 24 September 2007 (UTC)
thread_title:  External Links 

message: Changed:
 Tachycardia associated with POTS may be a cardiac response
 to restore cerebral hypoperfusion.
To:
 Tachycardia associated with POTS may be a cardiac response
 to restore cerebral perfusion.
Hypoperfusion is bad. Restore to a sickly state? Doesn't make sense.  —Preceding unsigned comment added by 75.68.57.237 (talk) 02:14, 2 November 2009 (UTC)
thread_title:  Word Change 

message: The medication list is nothing more than a laundry list of, seemingly, every drug with autonomic effects. In the absence of cites showing their effectiveness in POTS patients, those meds should come off the list. I intend to prune this section drastically in the next while, so please let me know now if you object.
Frankly, much of the article seems to have been written in the same noncritical fashion and cries out for objective, critical editing. I am reluctant to do so because I have a growing suspicion that POTS is becoming a vogue disease much like the erstwhile phenomena of "hypoglycemia", "environmental allergy", "chronic fatigue syndrome", etc. Hence, there will be (and probably already are) individuals with an agenda who will re-revise the article according to that agenda.
I await your comments.
Thank you.  —Preceding unsigned comment added by Gaussgauss (talk • contribs) 02:25, 11 January 2010 (UTC)
thread_title:  Medication Section 

message: This article was mentioned by The Sun (yeah not a very reliable newspaper in itself and it was published on April 1) and several other news sources picked it up. Source:  SpeakFree (talk) 16:02, 3 April 2011 (UTC)
thread_title:  Mentioned in the news 

message: There are a lot of things said in the article lacking citation. This article needs a re-write or considerably more research. 75.48.6.248 (talk) 06:27, 27 June 2011 (UTC)
thread_title: Needs More

message: Is there a recognized opposite of POTS - tachycardia that occurs upon NOT standing directly after waking?  Granted, I have diabetes and has a BG of 60 at the time (and had just dropped down from an unknown dawn phenomenon level).  This is normally fine for me causing no neurological or physical impairment, 0 - although not particularly pleasant if it continues for more than 10 minutes which is why I run about 90.  But upon waking might have set off the autonomic nervous system with a "hypo-perfusion in need of fixing" response. (a la the hypothesis about POTS). 
Non related - how would I ask about adding "autosigning" code that would automatically insert the "tilde-line"?  I always forget it.. Jimw338 (talk) 14:51, 1 March 2012 (UTC)
replies: text: You sign your name by typing four consecutive tildes: ~~~~. Your questions are beyond the scope of what anyone here is likely to answer, but if they relate to something you think needs fixing in the article, you might post a message with a link to this discussion at Wikipedia talk:WikiProject Medicine and ask someone there to take a look. Rivertorch (talk) — Preceding undated comment added 17:59, 1 March 2012 (UTC)
thread_title:  ''Opposite'' of POTS ("P-non-O-TS")? 

message: I agree more citations are good.  But article in general is way too long.  Article should be summarized.  Seems at least twice as long as it should be.EtherDoc (talk) 16:23, 16 April 2012 (UTC)
thread_title: And Needs Less

message: Deleted:
Prolonged inactivity of any cause, especially when much time is being spent in the supine (recumbent) position, will lead to a diminution in the usual orthostatic reflex. In other words, chronic inactivity with frequent assumption of the supine position will lead to the hallmark signs of POTS. This raises the question as to whether, in some cases, POTS is actually an epiphenomenon, and has resulted from prolonged inactivity. Since many POTS sufferers feel compelled to remain supine, the potential for a vicious cycle is obvious, but it does not explain why many POTS patients have a sudden onset of symptoms after leading previously active lives.
Reason: 
Contains no references, wrong section, could be seen to be blaming given the current wording (see http://www.dinet.org/myths.htm to see why it is important to be careful with the wording of this issue). Needs to be re-written, with references, if it is to be kept and then placed in the Causes section.
--Grim83 (talk) 16:14, 8 May 2012 (UTC)
thread_title:  Symptoms 

message: I thought I'd explain the change I just did seeing due to my correction as its now saying something quite different to what it previously had done. 
If one treated a CFS person with POTS and they then recovered with their disabling fatigue and symptoms,  that would mean the person actually didnt have CFS in the first place but rather just had a wrong CFS diagnoses.
For a CFS diagnoses.. all other conditions are supposed to be ruled out first and treated before a CFS diagnoses is given.. that would include ruling out if the person only just has POTS.  Hence the change I made in this article.  They do commonly exist together but treating the POTS, will not fix CFS.
Taniaaust1 (talk) 08:32, 21 May 2012 (UTC)
thread_title: change to POT and CFS part

message: This case report on resolution of POTS using Vitamin D http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3433525/ provides references supporting the theory that POTS can be caused by Vitamin D deficiency with various mechanisms.
: Not really. There's no evidence that vitamin D deficiency causes POTS (and this person was only mildly deficient, like most people are in winter), and there was no placebo control. --sciencewatcher (talk) 17:03, 1 February 2015 (UTC)
replies: text:  This is a case report, which indicates that Vitamin D supplementation improved the symptoms of POTS, and this happened twice and resolved with the same method both times. The discussion also proposes a mechanism for why Vitamin D may be a factor in POTS. Secondly, the measured levels were not severely low, however the patient had a defect of 1-alpha hydroxylation which causes the need for high doses of Vitamin D compared to others (aka Vitamin D resistant rickets) to resolve the functional deficiency of Vitamin D. Given that the incidence of this is not rare (1:20000), Vitamin D deficiency can't be dismissed out of hand as a contributory factor for POTS.  — Preceding unsigned comment added by 184.175.12.213 (talk) 08:14, 12 February 2015 (UTC)
replies: text: We should only add it if it's in a secondary source. --sciencewatcher (talk) 14:49, 12 February 2015 (UTC)
thread_title:  Vitamin D deficiency as a cause 

message: Former version: https://en.wikipedia.org/w/index.php?title=Postural_orthostatic_tachycardia_syndrome&diff=661327435&oldid=660595191
This article is a very "nice" (or ugly...) example how informative Wikipedia articles are being deliberately destroyed.
Therefore the Wikipedia project has ultimately failed. Too bad.
--81.6.59.42 (talk) 13:26, 4 November 2015 (UTC)
replies: text: Care to explain what you mean? I had a quick look, and it looks like Kate was improving the article by using secondary sources, as per wikipedia policy. Wikipedia isn't a "homepage" where people can add lots of unsourced random bits and pieces. It's an encyclopedia. --sciencewatcher (talk) 16:43, 4 November 2015 (UTC)
replies: text: I agree with sciencewatcher. It looks to me likely most of the information removed was unsourced. Can the IP provide an example of some info was well sourced but removed/ Nil Einne (talk) 16:27, 5 November 2015 (UTC)
thread_title:  How good Wikipedia articles are being destroyed by vandals and lobbyists 

message: Why is there an image of an 80mg. propanolol accompanying the medication section when there is no mention of it in the text, either as a Rx or contraindication?Toyokuni3 (talk) 20:06, 27 June 2018 (UTC)
replies: text: Agree User:Toyokuni3 and adjusted. Doc James (talk · contribs · email) 11:37, 28 June 2018 (UTC)
thread_title: Propanolol

message: Is the beleived cause. Generally sent to cardiology.Doc James (talk · contribs · email) 07:07, 1 November 2018 (UTC)
thread_title: "cardiovascular autonomic dysfunction"

message: Valle12 I think that the comparison table that you have created, might not be appropriate, because it is comparing research, which is the purpose of review articles. As editors we should cite the reviews not write the reviews. CV9933 (talk) 15:17, 17 September 2020 (UTC)
thread_title:  About the comparison table 

message: The use of this politically incorrect alternate term for the syndrome came up recently in the media when it was used as an answer on Jeopardy and then later criticized by sufferers of POTS who find it offensive and misleading. Thus I think we should mention "Grinch sYndrome" was an alternate term used by doctors once for POTS because they thought it helped explain the syndrome to laypeople and explain how it is no longer politically correct due to the unfortunate implication it carries for sufferers of POTS. Is there some reason this controversy should be left out of the article I am not aware of? --108.239.8.149 (talk) 15:37, 24 June 2021 (UTC)
thread_title:  No mention of the the term "Grinch Syndrome" an alternate but politically incorrect term formally used by doctors for POTS 

message: The article says there is a "genetic marker common among all three conditions" with four sources, but I can't find the marker. Christian4star (talk) 12:50, 10 May 2022 (UTC)
thread_title:  genetic marker 

message: The introduction has a paragraph that starts with "Treatment may include avoiding factors that bring on symptoms, increasing dietary salt and water, small and frequent meals…" So, should they avoid dietary salt and water and small meals? Or are the "factors" unlisted? This sentence could be more clear if the avoiding "factors that bring on symptoms" were moved to the end of the list. MiguelMunoz (talk) 02:08, 28 May 2024 (UTC)
thread_title:  Treatments…