Evidence map›Paper›PMID 25009504›Full record

ArticleFrontiers in physiology2014

Cognitive function, health-related quality of life, and symptoms of depression and anxiety sensitivity are impaired in patients with the postural orthostatic tachycardia syndrome (POTS).

Jake W Anderson, Elisabeth A Lambert, Carolina I Sari, Tye Dawood, Murray D Esler, Gautam Vaddadi, Gavin W Lambert

3 registry-linked trialsOpen access · goldAbstract read
In one paragraph

Article in Frontiers in physiology, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 3 registered trials, which are not on this map. Cited by 37 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
37citing papers in PubMed, 2 pooled it
5.9field-weighted citation impact, top 4% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT03253120 nacompletednot on this mapstarted 2017, after this paper: background citation

Alterations of Attention in Patients With Postural Tachycardia Syndrome and Healthy Controls Depending on Body Position and Hydration

TypeinterventionalSponsorInsel Gruppe AG, University Hospital BernRan2017 to 2022Enrolled30ConditionsPostural Tachycardia SyndromeArmsWater
NCT03681080 nacompletednot on this mapstarted 2017, after this paper: background citation

Understanding Impaired Concentration, Attentional Deficits and Their Pathophysiology in Postural Orthostatic Tachycardia Syndrome (POTS) and Other Autonomic Neuropathies (POTSKog-Study Aachen)

TypeinterventionalSponsorRWTH Aachen UniversityRan2017 to 2023Enrolled110ConditionsAutonomic Failure, Dysautonomia, Cognitive Impairment, Ehlers-Danlos SyndromeArmsleg crossing
NCT04170725 nacompletednot on this mapstarted 2020, after this paper: background citation

Muscular and Cutaneous Dysfunction in Postural Tachycardia Syndrome

TypeinterventionalSponsorInsel Gruppe AG, University Hospital BernRan2020 to 2025Enrolled15ConditionsPostural Tachycardia SyndromeArmsPatient and Healthy Volunteers training protocol
3 · Its place in the literature

Who cites it

37 citing papers in PubMed, 2 syntheses or guidelines pooled it, 92 citations in OpenAlex.

  1. Faintly tired: a systematic review of fatigue in patients with orthostatic syncope.Clinical autonomic research : official journal of the Clinical Autonomic Research Society · 2022
    Pooled it
  2. Pooled it
  3. Article
  4. Review
  5. Impaired attention and cognitive deficits associated with pain and autonomic symptoms in hypermobile Ehlers-Danlos syndrome: a pilot study.Clinical autonomic research : official journal of the Clinical Autonomic Research Society · 2026
    Article
  6. Vestibulo-sympathetic interaction and otolith function in postural orthostatic tachycardia syndrome.Clinical autonomic research : official journal of the Clinical Autonomic Research Society · 2026
    Article
  7. Article
  8. Article
  9. Long-COVID and postural orthostatic tachycardia syndrome: a preliminary comparison of neuropsychological performance.Clinical autonomic research : official journal of the Clinical Autonomic Research Society · 2025
    Article
  10. Feasibility Assessment of a Wearable App to Manage Symptoms of Postural Orthostatic Tachycardia Syndrome Using Real-Time Heart Rate Monitoring.AMIA Joint Summits on Translational Science proceedings. AMIA Joint Summits on Translational Science · 2025
    Article
  11. Article
  12. Article
  13. A complex interplay between autonomic symptoms and symptoms of depression, anxiety, and stress.Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology · 2023
    Article
  14. Considerations in Children and Adolescents Related to Coronavirus Disease 2019 (COVID-19).Physical medicine and rehabilitation clinics of North America · 2023
    Review
  15. Cognitive functioning in postural orthostatic tachycardia syndrome among different body positions: a prospective pilot study (POTSKog study).Clinical autonomic research : official journal of the Clinical Autonomic Research Society · 2023
    Article
  16. Article
  17. Article
  18. Article
  19. Autoimmunity in Long Covid and POTS.Oxford open immunology · 2023
    Review
  20. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors at 2 institutions in 1 country.

Jake W AndersonBaker IDI Heart & Diabetes Institute Melbourne, VIC, Australia ; School of Psychology and Psychiatry, Monash University Melbourne, VIC, Australia.
Elisabeth A LambertBaker IDI Heart & Diabetes Institute Melbourne, VIC, Australia ; Department of Physiology, Nursing and Health Sciences, Monash University Melbourne, VIC, Australia.
Carolina I SariBaker IDI Heart & Diabetes Institute Melbourne, VIC, Australia.
Tye DawoodBaker IDI Heart & Diabetes Institute Melbourne, VIC, Australia.
Murray D EslerBaker IDI Heart & Diabetes Institute Melbourne, VIC, Australia ; Central Clinical School, Faculty of Medicine, Nursing and Health Sciences, Monash University Melbourne, VIC, Australia.
Gautam VaddadiBaker IDI Heart & Diabetes Institute Melbourne, VIC, Australia.
Gavin W LambertBaker IDI Heart & Diabetes Institute Melbourne, VIC, Australia ; Central Clinical School, Faculty of Medicine, Nursing and Health Sciences, Monash University Melbourne, VIC, Australia.
Baker Heart and Diabetes Institute · AUMonash University · AU

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The Postural Orthostatic Tachycardia Syndrome (POTS) is a condition in which heart rate increases abnormally when the individual assumes an upright position. In addition to the marked tachycardia, presyncope, and syncope, patients with POTS often complain of light-headedness, fatigue, and difficulty in concentrating. The present study assessed individuals with POTS for psychiatric comorbidity, anxiety sensitivity and health related quality of life and examined general cognitive ability. Data was obtained from patients with POTS (n = 15, 12 female, aged 30 ± 3 years) and age matched healthy subjects (n = 30, 21 female, aged 32 ± 2 years). Patients with POTS commonly presented with symptoms of depression, elevated anxiety and increased anxiety sensitivity, particularly with regards to cardiac symptoms, and had a poorer health related quality of life in both the physical and mental health domains. While patients with POTS performed worse in tests of current intellectual functioning (verbal and non-verbal IQ) and in measures of focused attention (digits forward) and short term memory (digits back), test results were influenced largely by years of education and the underlying level of depression and anxiety. Acute changes in cognitive performance in response to head up tilt were evident in the POTS patients. From results obtained, it was concluded that participants with POTS have an increased prevalence of depression and higher levels of anxiety. These underlying symptoms impact on cognition in patients with POTS, particularly in the cognitive domains of attention and short-term memory. Our results indicate that psychological interventions may aid in recovery and facilitate uptake and adherence of other treatment modalities in patients with POTS.

Indexed as

noradrenaline transporterorthostatic intolerancepsychiatric comorbiditysympathetic nervous systemtachycardia

Identifiers

PMID25009504
PMCPMC4070177
OpenAlexW1977600357

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.