The modern age of clinical guidelines began with a 1992 institute of medicine report which defined guidelines as systematically developed statements meant to assist practitioner and patient decisions about healthcare for specific clinical circumstances. The key words there were ‘assist practitioner AND patient decisions’. However over the course of the last 30 years, this seemingly innocuous and p [...]
What is POTS? POTS stands for postural orthostatic tachycardia syndrome. In this condition, patients complain when they stand up for a prolonged period of time, they feel very uncomfortable with dizziness, palpitations and tremulousness and therefore they either have to sit or lie down or they risk collapsing. When you examine them, the heart rate can be found to be excessively fast. As doctors, [...]
POTS stands for Postural Orthostatic Tachycardia Syndrome. This means that patients with this condition find that they feel unwell with symptoms of tremulousness, dizziness and heart palpitations when they stand up. On objective assessment,there is an exaggerated and sustained increase in heart rate (> 30 beats/ per minute in adults; >40 beats per minute in children) compared to when the pat [...]
