Autonomic Dysfunction in the Post Covid Long Hauler

This lecture, featuring neurologist Dr. Svetlana Blitshteyn and hosted by Noah Greenspan, explores the relationship between post-viral conditions, specifically dysautonomia, and COVID-19. Dr. Blitshteyn outlines the symptoms of post-COVID dysautonomia and POTS, such as fatigue, tachycardia, and dizziness, and explains the potential mechanisms, including sympathetic nervous system overactivity. She emphasizes the importance of a proper diagnosis using tilt table tests and simple stand tests in the clinic, highlighting the often overlooked impact of cerebral hypoperfusion. Dr. Blitshteyn recommends non-pharmacological management strategies like increased fluid and salt intake and the use of compression garments, alongside pharmacological options. Despite current challenges in treatment availability, she stresses the need for healthcare providers to enhance their understanding of dysautonomia to better serve patients. The discussion also touches on potential autoimmune triggers and the complexity of symptoms like chest pain and gastrointestinal problems, underscoring the need for thorough examination and a tailored treatment approach.