Tilt table for POT in FIbromyalgia

[Guest guest]

great article by Dr.Roland Staud UF & Shands in Gainsville,FLA.

This would make me dizzy and probably throw up.I think best if done

on an empty stomach.

Hugs heidi

Autonomic dysfunction in fibromyalgia syndrome: Postural orthostatic

tachycardia - Source: Current Rheumatology Reports, Dec 2008

by Roland Staud, MD, FACP, FACR

November 16, 2008

Although fibromyalgia (FM) syndrome is defined by chronic widespread

pain and tenderness, additional symptoms, including disabling fatigue

and dizziness, are often reported by patients with this chronic

illness.

Although nonrestorative sleep may play an important role for chronic

fatigue in FM, other mechanisms, including dysfunction of the

autonomic nervous system (ANS), need to be considered.

Many important biological functions, such as heart rate, blood

pressure, respirations, and bowel function, are tightly regulated by

the ANS.

However, dysfunction of the ANS is common in FM and often becomes

quite apparent after positional changes from supine to upright.

Although such positional changes sometimes result in syncope, they

are more often associated with palpitations and dizziness.

Head-up tilt table testing can be used to evaluate autonomic

dysfunction, and is frequently helpful for the work-up of FM

complaints, including fatigue, dizziness, and palpitations.

One of the most common events experienced by FM patients during tilt

table testing is postural orthostatic tachycardia syndrome, which is

defined as a heart rate increase of more than 30 beats per minute

after more than 3 minutes of standing upright.

Source: Current Rheumatology Reports, Dec 2008;10(6):463-466. PMID:

19007537, by Staud R. Department of Medicine, University of Florida

College of Medicine, Gainesville, Florida, USA. [E-mail:

staudr@...]