POTS Non-Pharmacologic Therapy

The resource discusses non-pharmacologic therapies for managing Postural Orthostatic Tachycardia Syndrome (POTS), specifically focusing on lifestyle and exercise interventions. Key recommendations include reducing or eliminating caffeine and other stimulants from the diet, increasing water and salt intake, and using compression stockings to aid in blood volume distribution. Exercise plays a central role in treatment, with supervised or carefully monitored graded cardiovascular exercise programs proving effective in improving cardiovascular parameters and reducing symptoms for many patients. Studies highlight the significant improvements from structured exercise, though challenges remain in patient adherence, and non-supervised exercises may yield less reliable results. Comprehensive inpatient programs, though effective, face feasibility issues due to resource demands. The difficulty of initiating an exercise regimen and maintaining it during the initial weeks is emphasized as a barrier to achieving beneficial outcomes.