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POTS diagnosis and treatment at Biio goes far beyond measuring heart rate increases—it's about understanding why your autonomic nervous system has lost its calibration and how to restore functional stability. While traditional cardiology might focus on managing heart rate spikes, our approach recognises that POTS represents a complex dysregulation affecting circulation, cognitive function, exercise tolerance, and quality of life.
Your POTS specialist understands what others dismiss: that a 30-beat heart rate increase upon standing isn't just a number—it's your body's desperate attempt to maintain cerebral perfusion when your vascular system can no longer automatically adjust to gravity. They recognise that your "brain fog" during upright posture isn't psychological but the measurable consequence of reduced blood flow to cognitive centres. Whether your POTS emerged after viral infection, developed alongside connective tissue disorders, or represents hyperadrenergic dysfunction, our practitioners identify and address the specific subtype driving your symptoms.
Your POTS treatment integrates seamlessly with your broader Biio care team, sharing insights through our biiography platform to ensure your cardiologist, physiotherapist, and case manager understand how orthostatic intolerance affects every aspect of your care plan. This isn't about learning to live with limitations—it's about systematic restoration of autonomic function addressing both the mechanical and psychological aspects of living with invisible disability.
1. Comprehensive Autonomic Assessment
Your 90-minute initial assessment includes detailed symptom mapping using validated tools like the Malmo assessment, comprehensive orthostatic vital monitoring with active stand testing, trigger identification, and thorough evaluation of onset patterns. We document your heart rate and blood pressure responses to position changes using beat-to-beat monitoring, correlating physiological changes with your experienced symptoms to establish baseline autonomic function.
2. POTS Subtype Investigation
Through targeted testing, we identify whether you have hyperadrenergic POTS (with elevated standing norepinephrine), neuropathic POTS (from small fiber neuropathy), or hypovolemic POTS (from blood volume abnormalities). This includes plasma volume assessment, comprehensive metabolic profiling, autoimmune screening for autonomic antibodies, and evaluation for underlying triggers including viral infections, connective tissue disorders, or mast cell activation syndrome.
3. Integrated Care Planning
Working with your case manager and care team, we develop a personalised treatment protocol addressing your specific POTS subtype and underlying triggers. This comprehensive plan integrates medication management, lifestyle modifications, exercise protocols, and coordination with physiotherapy, psychology, or other specialists as indicated by your individual presentation and comorbidities.
4. Precision Treatment Implementation
Your treatment plan combines evidence-based pharmacological interventions (fluid retention medications, heart rate control, or blood pressure support as indicated) with targeted lifestyle interventions including graduated exercise protocols, dietary modifications, and orthostatic training. We monitor your response through regular follow-ups, adjusting medications and interventions based on your functional improvements and symptom patterns.
5. Ongoing Monitoring & Optimisation
Through regular consultations and remote monitoring when appropriate, we track your autonomic function improvements using heart rate variability analysis, exercise tolerance measures, and validated symptom scales. Your biiography platform captures daily symptoms and functional capacity, allowing precise treatment adjustments and early identification of setbacks or improvements.
6. Self-Management & Long-term Stability
As your autonomic function stabilises, we transition focus toward sustainable self-management strategies, teaching you to recognise early warning signs, adjust interventions based on triggers or stressors, and maintain functional gains through appropriate lifestyle modifications and exercise progression.
Clinical Benefits
Quality of Life Improvements
Integration Advantages