EDS and Dysautonomia | Dr. Satish R. Raj, MD, MSCI, FACC, FHRS

Dr. Satish R. Raj's presentation at the November 2023 ILC Conference delves into the complexities of POTS and its frequent coexistence with Ehlers-Danlos Syndrome (EDS). He explains that POTS is not a singular diagnosis but a collection of symptoms including increased heart rate upon standing, worsened qualities when upright, and significant symptomologies like brain fog, gastrointestinal issues, and fatigue. He outlines the importance of differentiation between POTS and other similar conditions and introduces the concept of 'postural symptoms without tachycardia.' Dr. Raj discusses various potentially contributing factors, such as autonomic dysfunctions, mast cell activation syndrome, and blood volume irregularities. He emphasizes non-pharmacological treatments such as increased salt and fluid intake, compression garments, and exercise, alongside potential pharmacological interventions like propranolol and ivabradine to manage symptoms. Dr. Raj advocates for an individualized approach to treatment given the varying symptoms and subtypes of these disorders.