Breaking Down POTS: Dr. Jeffrey Boris Discusses Symptoms and Solutions

In this episode, Dr. Jeffrey Boris, a pediatric cardiologist specializing in POTS (Postural Orthostatic Tachycardia Syndrome), discusses the complexities of diagnosing and treating POTS. He highlights the importance of taking a detailed history to identify potential comorbidities, like hypermobility and Mast Cell Activation Syndrome. Dr. Boris emphasizes a multifaceted treatment approach, including increased fluid and salt intake, exercise, and personalized medication regimens. He speaks about the challenges of diagnosing POTS due to misconceptions and insufficient research funding and mentions the role of infections, trauma, and hormonal changes as potential triggers. Dr. Boris also describes the use of medications such as pyridostigmine and stimulants like methylphenidate for fatigue and cognitive symptoms, and he addresses the temporary benefits and risks of intermittent IV saline treatments. Despite challenges, he expresses hope for improved patient outcomes with validated diagnostic approaches and more research, particularly into genetic factors and immunomodulation therapies.