Orthostatic Intolerance Part 2: Management

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June 14, 2022
Bateman Horne Center has partnered with the University of Utah Health to conduct a Long COVID and Post-Viral Syndromes ECHO (Project ECHO). This series delivers information to healthcare professionals utilizing short didactics and case-based learning to enhance their ability to manage patients with long COVID, ME/CFS, FM, and related comorbid conditions.
Brayden Yellman, MD, addresses management of orthostatic intolerance (OI) syndromes:
- Recognizing and avoiding common triggers
- Management approaches: increase intravascular volume, improve venous return, maintain intravascular volume, increase cardiac input and improve cardiovascular tone while avoiding PEM (post-exertional malaise)
- Case presentation
Note to community members: We advise viewers to always speak with their medical care team prior to making any adjustments or changes to their current regimen.
Bateman Horne Center’s involvement in this program is made possible with the additional support of the Open Medicine Foundation.

Опубликовано:

27 авг 2022

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Комментарии : 18

@justritasimi Год назад

The best video on POTS I've seen yet ! I am a POTS patient for 17 years now. One thing that was making my hypovolemic POTS worse was a trial of a vegan diet and juicing veggied as I was accidentally lowering my BP ( beets and spinach and celery had a diuretic and vasodilating effect and i got very sick ). Now I eat a high salt omnivore diet and take fludrocortisone and LMNT electrolytes and am finally medically stable. Great tips on this video.

@marvindavidson5103 Год назад

This is an incredibly high quality presentation. I know understand much more how each of the medicines that I am on is functioning. Thank you all very much.

@KittenCasserole Год назад

Fantastic presentation, thanks so much for sharing! I watch ME/CFS videos like this everyday and this is the best one I’ve ever seen on OI management

@jefftist9625 Год назад

Midodrine. 18:43 Pyridostigmine. 21:55

@CG_Hali Год назад

So much important content here! Thank you!

@jendomski 9 месяцев назад

why are closed captions unavailable?

@Brandon-qu6fx Год назад

I have joint hyper mobility OI and gastroparesis. To I was diagnosed with vaso vagal syncope in May 2015 then had an autonomic neurology test . In Sep 2017 . And was diagnosed with Orthostatic intolerance. By Melissa Cortez.

@kjellrni Год назад

Using Candesartan and Desmopressin has increased the time I can be upright without getting worse from 10 minutes to 2.5+ hours. It requires fluid intake regulation through body weight monitoring though. Has anyone else tried this?

@meeerdock Месяц назад

all the examples are with pots or orthostatic hypotention, how about orthostatic hypertention ? are these managment intervention valid also?

@nickdriver8337 2 дня назад

I have the same problem, can't seem to find any answers anywhere!

@eddie8489 Год назад

Considering ~50-60% of Me/CFS population has Collagen defect/EDS. Is compression up to the waist still advisable given the risk of aneurysms in these patients? Compression redirects a lot of the blood volume to the upper body/brain which can exacerbate aneurysms/dissections.

@baileystruss7319 Год назад

With OI, are vasodilators such as high nitrate vegetables a bad idea?

@ralucanechita3526 Год назад

Hi. I tried a compression t-shirt, but it feels it's making things worse. I have lots of tightness in my upper body due to Long Covid and it feels this kind of compression is not suitable for me. Did you have patients with POTS that had this kind of symptoms and for which the compression made it worse?

@roxyiconoclast 8 месяцев назад

My doctor (from the same clinic as Dr. Yellman) recommended compression garments in the lower body, not the upper. Abdominal compression hopefully would not affect your lungs and LC symptoms.

@lucieforand68 Год назад

What does free water refers to?

@roxyiconoclast 8 месяцев назад

Drinking water.

@sandrinestamm3163 10 месяцев назад

Il n'y a pas les sous-titres en français pour cette vidéo !!!! Vraiment dommage

@sarahturnbull7610 4 месяца назад

Cette conférence couvre des informations similaires en français: ru-vid.com/video/%D0%B2%D0%B8%D0%B4%D0%B5%D0%BE-zmnnL1uuM3Q.html Malheureusement, il ne parle que d'un seul trouble (POTS), au lieu de l'intolérance orthostatique en général, mais j'espère que cela aidera quand même.