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Cardiac Services
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Postural Orthostatic Tachycardia Syndrome (POTS)

Postural orthostatic tachycardia syndrome, also known as PoTS, is a relatively unknown but common condition affecting the autonomic nervous system (the blood pressure control system), causing an increase in heart rate on standing. It tends to affect younger women in particular although not exclusively. It can produce a range of heart symptoms which include dizziness and blackouts, palpitations, breathlessness and chest pain.

The condition can also be associated with hypermobility (high range of joint movement) which can cause joint discomfort or pain. Fatigue is often a prominent feature and it is estimated that up to 40% of chronic fatigue syndrome (ME) sufferers may have PoTS. PoTS can affect various parts of the body including the bowels with irritable bowel-type presentations, the bladder with frequency, incontinence and infection, as well as causing migraines and disturbed sleep patterns, amongst others. Over more than a decade we have developed an expertise in this area, in its investigation and management.

Tests that might be required from the cardiological perspective include tilt testing or an active stand, Echocardiography (ECG), heart rate monitoring and exercise testing. The management of PoTS is complex; hence our holistic approach in combining non-medical treatments such as lifestyle changes (increasing fluid and salt intake, exercise and diet), as well as medications including Midodrine and Ivabradine.

We work with a range of experts to treat all aspects of the condition including rheumatology, gastroenterology, urology, physiotherapy, endocrinology and neurology depending on symptoms. For more information about this condition please visit www.potsuk.org and www.heartrhythmalliance.org/stars/uk.

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Blood Management

Our blood management services apply across all aspects of cardiac and thoracic care

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Counselling Services

Our psychosexual clinical nurse specialist is available to support all our cardiac and thoracic patients

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Symptom Control

Our symptom control team are here to help you manage symptoms, especially if you have heart failure or lung disease

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Dietetic Support

Our dieticians play a crucial role in the care of all cardiac and thoracic patients               

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Contact Us

London Bridge Hospital


Tel: 03331 308 177

General Enquires

Tel: 020 7407 3100

Tax: 020 7234 2019


27, Tooley Street
London SE1 2PR

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