Electrophysiology

Canadian Heart Rhythm Society (CHRS)

356 - MY NEXT PATIENT HAD POTS? WHAT DO I DO NOW?

Co-Chair(s)

• 

  Satish Raj, MD MSCI FRCPC (he/him/his)

  Cardiac Electrophysiologist
  Libin Cardiovascular Institute
  University of Calgary
• 

  Paula Harvey, BMBS PhD (she/her/hers)

  Physician in Chief Department of Medicine, Women's College Hospital
  University of Toronto
  University of Toronto

Presenter(s)

• 

  Kate Bourne, PhD MD(candidate)

  Medical Student
  University of Calgary
• 

  Praloy Chakraborty, MD MSc (he/him/his)

  Assistant Professor
  Toronto General Hospital and University Health Network
• 

  Rashmin Hira, BSc, BA

  PhD Student
  University of Calgary
• 

  Tosin Osuntokun, MD (she/her/hers)

  Assistant Professor, Department of Medicine, Division of Cardiology
  University of Toronto
  Women's College Hospital, University of Toronto
• 

  Satish Raj, MD MSCI FRCPC (he/him/his)

  Cardiac Electrophysiologist
  Libin Cardiovascular Institute
  University of Calgary
• CS

  Colette Seifer, MB (Hons), FRCP (UK)

  Cardiologist
  University of Manitoba/St Boniface Hospital
  University of Manitoba

Early Career(s)

• 

  Praloy Chakraborty, MD MSc (he/him/his)

  Assistant Professor
  Toronto General Hospital and University Health Network
• 

  Tarek Hatoum, MD

  Cardiologist
  AHS/ HHI
• 

  Tosin Osuntokun, MD (she/her/hers)

  Assistant Professor, Department of Medicine, Division of Cardiology
  University of Toronto
  Women's College Hospital, University of Toronto

Trainee(s)

• 

  Kate Bourne, PhD MD(candidate)

  Medical Student
  University of Calgary

Moderator(s)

• 

  Satish Raj, MD MSCI FRCPC (he/him/his)

  Cardiac Electrophysiologist
  Libin Cardiovascular Institute
  University of Calgary

Planning Committee Member(s)

• 

  Tarek Hatoum, MD

  Cardiologist
  AHS/ HHI
• LL

  Lucy Lei, MD MSc

  Medical Student
• 

  Satish Raj, MD MSCI FRCPC (he/him/his)

  Cardiac Electrophysiologist
  Libin Cardiovascular Institute
  University of Calgary

Workshop Description: Postural orthostatic tachycardia syndrome (POTS) is an important clinical problem that is currently poorly managed. Due to the hallmark “orthostatic tachycardia”, these patients are seen most frequently by cardiologists. The importance of this clinical problem is evidenced by the 2020 Canadian Cardiovascular Society Position Statement on Postural Orthostatic Tachycardia Syndrome and Related Disorders of Orthostatic Intolerance.

Even since the CCS Position Statement, there are new data to inform the optimal management for patients with POTS. There has been a study of high vs. low dietary salt intake, studies on the use of lower body compression in POTS, and some exciting emerging data on the use of non-invasive trans-auricular vagal nerve stimulation to treat POTS. This information will be useful to the physicians and nurses who are struggling to care for these patients with POTS.

In this workshop, we will use a case presentation to focus the discussion. We will then give a brief overview of POTS and its diagnosis and then dive into treatment options with a more detailed and practical focus on non-pharmacological treatments, in addition to a pharmacological overview.

The topic is directly relevant to clinical care in daily practice. Many cardiologists struggle to optimally manage patients with POTS. We hope that the participants will leave the workshop with an enhanced appreciation of, and specific skills to manage, patients with POTS. These could immediately translate to improved patient care in the clinic.