Evidence map›Paper›PMID 32222376›Full record

ReviewProgress in cardiovascular diseases

Postural Orthostatic Tachycardia Syndrome (POTS): A critical assessment.

Brian Olshansky, David Cannom, Artur Fedorowski, Julian Stewart, Christopher Gibbons, Richard Sutton, Win-Kuang Shen, James Muldowney, Tae Hwan Chung, Suzy Feigofsky and 3 more

Open access · greenAbstract readReview
In one paragraph

Review in Progress in cardiovascular diseases. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 50 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
50citing papers in PubMed, 1 pooled it
11.0field-weighted citation impact, top 1% 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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

50 citing papers in PubMed, 1 synthesis or guideline pooled it, 98 citations in OpenAlex.

  1. Pooled it
  2. Review
  3. Review
  4. Article
  5. Utilization of machine learning in diagnosis of postural tachycardia syndrome (POTS).Clinical autonomic research : official journal of the Clinical Autonomic Research Society · 2026
    Article
  6. Article
  7. Review
  8. Article
  9. Review
  10. Article
  11. Article
  12. Review
  13. Review
  14. Article
  15. Cerebral blood flow and end-tidal CONeurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology · 2024
    Article
  16. Article
  17. Article
  18. Review
  19. Comment to the article "Standing tests lack reliability to diagnose all adolescents who have postural tachycardia syndrome".Clinical autonomic research : official journal of the Clinical Autonomic Research Society · 2024
    Article
  20. Cardiovascular effects of the post-COVID-19 condition.Nature cardiovascular research · 2024
    Review
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

13 authors at 10 institutions in 3 countries.

Brian OlshanskyDivision of Cardiology, The University of Iowa, Iowa City, IA, United States of America. Electronic address: brian-olshansky@uiowa.edu.
David CannomDivision of Cardiovascular Medicine, Keck School of Medicine of USC, Los Angeles, CA, United States of America.
Artur FedorowskiDepartment of Cardiology, Skåne University Hospital, Malmö, Sweden.
Julian StewartCenter for Pediatric Hypotensive Disease, New York Medical College, Hawthorne, NY, United States of America.
Christopher GibbonsDepartment of Neurology, Harvard Medical School Beth Israel Deaconess Medical Center, Boston, MA, United States of America.
Richard SuttonDepartment of Cardiology, Hammersmith Hospital Campus, London, England, United Kingdom of Great Britain and Northern Ireland.
Win-Kuang ShenDepartment of Cardiovascular Diseases, Mayo Clinic Arizona Phoenix, AZ, United States of America.
James MuldowneyDepartment of Cardiology, Hammersmith Hospital Campus, London, England, United Kingdom of Great Britain and Northern Ireland.
Tae Hwan ChungDepartment of Neurology, The Johns Hopkins Medical Institutions, Baltimore, MD, United States of America.
Suzy FeigofskyIowa Heart Center, Carroll, IA, United States of America.
Hemal NayakDivision of Cardiology, Pritzker School of Medicine, University of Chicago, Chicago, IL, United States of America.
Hugh CalkinsDivision of Cardiology, The Johns Hopkins Medical Institutions, Baltimore, MD, United States of America.
David G BendittUniversity of Minnesota, Minneapolis, MN, United States of America.
Hammersmith Hospital · GBJohns Hopkins University · USBeth Israel Deaconess Medical Center · USKeck Hospital of USC · USMayo Clinic Hospital · USNew York Medical College · USSkåne University Hospital · SEUniversity of Chicago · USUniversity of Iowa · USUniversity of Minnesota · US

Funding

Cardiovagal baroreflex deficits impair neurovascular coupling and cognition in Postural Tachycardia SyndromeR01HL134674 · NHLBI · NEW YORK MEDICAL COLLEGE · PI STEWART, JULIAN M · 2017 to 2020
$2.5M
Alteration of kynurenine pathway in age-associated muscle weaknessK08AG058483 · NIA · JOHNS HOPKINS UNIVERSITY · PI CHUNG, TAE HWAN · 2018 to 2022
$854k
NHLBI NIH HHS R01 HL134674NIA NIH HHS K08 AG058483
6 · The paper itself

Abstract

Although diagnostic criteria have been developed characterizing postural orthostatic tachycardia syndrome (POTS), no single set of criteria is universally accepted. Furthermore, there are gaps in the present criteria used to identify individuals who have this condition. The reproducibility of the physiological findings, the relationship of symptoms to physiological findings, the presence of symptoms alone without any physiological findings and the response to various interventions confuse rather than clarify this condition. As many disease entities can be confused with POTS, it becomes critical to identify what this syndrome is. What appears to be POTS may be an underlying condition that requires specific therapy. POTS is not simply orthostatic intolerance and symptoms or intermittent orthostatic tachycardia but the syndrome needs to be characterized over time and with reproducibility. Here we address critical issues regarding the pathophysiology and diagnosis of POTS in an attempt to arrive at a rational approach to categorize the syndrome with the hope that it may help both better identify individuals and better understand approaches to therapy.

Indexed as

Blood PressurePostureDiagnosis, DifferentialHeart RateHumansPostural Orthostatic Tachycardia SyndromePredictive Value of TestsPrognosisReproducibility of ResultsOrthostatic intolerancePostural orthostatic tachycardiaTachycardia

Identifiers

PMID32222376
PMCPMC9012474
OpenAlexW3013728616

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

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.