Beyond Autonomic Testing: Screening for Contributing Factors & Underlying Causes - Brent Goodman, MD
Dr. Brent Goodman discusses the diagnostic approach for Postural Orthostatic Tachycardia Syndrome (POTS), highlighting the need for a comprehensive assessment to differentiate between primary and secondary causes. He emphasizes the vulnerability of the autonomic nervous system to systemic conditions and neurological disorders. Dr. Goodman reviews the importance of history-taking and autonomic testing, as well as identifying potential comorbidities like Sjogren's syndrome and mast cell activation. He also notes the dynamic nature of POTS, with autonomic function potentially changing over time, and stresses the need for repeated evaluations and the exploration of factors like autoimmunity, genetic predispositions, and deconditioning in understanding and managing the condition effectively.