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Exercise Guidelines for Postural Tachycardia Syndrome

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Postural Tachycardia Syndrome

Abstract

Exercise is an important component of the management of PoTS especially where deconditioning is present. In particular the long term effects of increased physical fitness such as increased blood volume, stroke volume and cardiac output, enhanced vascular pressure by enlarged muscle tissue and possible changes to the baroreflex are all thought to counteract orthostatic intolerance. Exercise needs to be carefully prescribed through careful clinically reasoning, gradation and monitoring, alongside other non pharmacological and pharmacological treatments. In particular people with overlapping pathologies such as Hypermobility Spectrum Disorder, Ehlers Danlos Syndromes, fibromyalgia, chronic fatigue syndrome or overtraining scenarios need to be carefully managed to avoid exacerbation of symptoms and to enable steady progress.

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Author information

Authors and Affiliations

  1. Center for Medical Genetics, Ghent University Hospital, Ghent, Belgium

    I. De Wandele

  2. School of Sport and Exercise Sciences, Liverpool John Moores University, Coventry, UK

    D. Low

  3. Johns Hopkins Pediatrics, Baltimore, USA

    P. Rowe

  4. Great Ormond Institute of Child Health, University College London, London, UK

    J. V. Simmonds

  5. University College London Hospital, London, UK

    J. V. Simmonds

  6. The London Hypermobility Unit, Wellington Hospital, London, UK

    J. V. Simmonds

Authors
  1. I. De Wandele
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  2. D. Low
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  3. P. Rowe
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  4. J. V. Simmonds
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Corresponding author

Correspondence to J. V. Simmonds .

Editor information

Editors and Affiliations

  1. King's College Hospital, London, UK

    Nicholas Gall

  2. Faculty of Health, Education and Life Sciences, Birmingham City University, Birmingham, UK

    Lesley Kavi

  3. Barts NIHR Biomedical Research Centre, William Harvey Research Institute, Queen Mary University of London, London, UK

    Melvin D. Lobo

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De Wandele, I., Low, D., Rowe, P., Simmonds, J.V. (2021). Exercise Guidelines for Postural Tachycardia Syndrome. In: Gall, N., Kavi, L., Lobo, M.D. (eds) Postural Tachycardia Syndrome. Springer, Cham. https://doi.org/10.1007/978-3-030-54165-1_26

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  • DOI: https://doi.org/10.1007/978-3-030-54165-1_26

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-030-54164-4

  • Online ISBN: 978-3-030-54165-1

  • eBook Packages: MedicineMedicine (R0)

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