Postural Tachycardia Syndrome Clinical Trial
Official title:
Origins of Cognitive Dysfunction in Postural Tachycardia Syndrome (POTS)
A common complaint among people with Postural Tachycardia Syndrome (POTS) is "brain fog" or difficulty concentrating. This is very poorly understood. To better understand this cognitive dysfunction, the investigators will test people with POTS and people without POTS using various neuropsychiatric instruments. The investigators hypothesis is that people with POTS will have greater abnormalities on neuropsychiatric testing than normal controls.
Postural Tachycardia Syndrome (POTS) is a disorder that affects an estimated 500,000 people
in the United States alone and is an important source of disability in young adults. It
shows a strong predilection for females. POTS is a form of orthostatic intolerance
characterized by an excessive increase in heart rate (>30 bpm) on assuming the upright
position associated with orthostatic symptoms, but in the absence of orthostatic
hypotension. Their symptoms of dizziness, nausea, tremor, chronic fatigue and exercise
intolerance make even simple activities of daily living exhausting prospects.
Brain fog or cognitive dysfunction is a common and almost universal complaint among persons
with POTS. There is a lack of pathophysiological understanding to this cognitive dysfunction
and is also a major roadblock to the development of effective therapies for people with
POTS.
The purpose of this study is to better define the cognitive dysfunction seen in patients
with POTS. We will use a series of validated neuropsychological tools in order to
characterize POTS cognitive dysfunction and compare this data to age and gender matched
control subjects.
Specific Aims:
1. To assess whether POTS patients have more neuropsychological abnormalities than control
subjects during seated assessments.
2. To assess whether POTS patients have more neuropsychological abnormalities than control
subjects during assessments while standing.
3. To ascertain the phenomenology of any neuropsychological deficits distinguishing POTS
patients from controls.
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Observational Model: Case Control, Time Perspective: Prospective
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