Orthostatic Intolerance Part 2: Management

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.

[@justritasimi]

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]

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]

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

[@CG_Hali]

So much important content here! Thank you!

[@jefftist9625]

Midodrine. 18:43 Pyridostigmine. 21:55

[@jendomski]

why are closed captions unavailable?

[@kjellrni]

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?

[@Brandon-qu6fx]

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.

[@meeerdock]

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

[@nickdriver8337]

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

[@eddie8489]

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]

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

[@ralucanechita3526]

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]

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.

[@sandrinestamm3163]

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

[@sarahturnbull7610]

Cette conférence couvre des informations similaires en français: kzbin.info/www/bejne/sJ7Rn39nqtqAabM 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.

[@lucieforand68]

What does free water refers to?

[@roxyiconoclast]

Drinking water.