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Drug Therapy

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The limitations of this study includes not finding a sufficient amount of articles that relate drug therapy to lifestyle choices. A majority of the articles found only compared the use of drug therapy, such as propranolol and beta blockers, to other forms of drug therapy, like midodrine. It was also problematic that lifestyle choices were only compared amongst themselves, like exercises versus sodium intake. Limited articles were obtained that discussed a form of drug therapy versus a lifestyle choice. Secondly, because POTS is an underdeveloped topic of research, it was difficult to pull conclusions from a scarce amount of resources available. Almost every article used in this systematic review claimed that there was no dominant …show more content…
When collecting our data we reviewed relevant articles, from 2009 to present which improves the quality of the information. When reviewing articles, there were also a few weaknesses. Some articles of interest were not available to us, like one being in Japanese, without the option of translating. One major weakness in our articles was that our sample sizes were extremely small. We imagine a few articles have potential for bias’ because if one specific drug therapy has a better outcome than another, then the researcher has a higher chance of publishing their …show more content…
Future studies would also need to look into the duration of an exercise training program since it has been proven to reduce the most symptoms, but not to normal functioning. Therefore, duration would need to be tested in order to determine if cardiac reconditioning and adrenal functioning could continue to increase with exercise to further reduce symptoms. The amount of propranolol or sodium intake should also be researched for more specificity to understand the optimal range of consumption for the greatest effect produced. Restriction in our systematic review emerged when there were not enough articles available to us that directly compared drug therapy to lifestyle choices since POTS is still an underdeveloped topic of research, however current studies are mainly focused on drug therapy. Practitioners should continue to research the benefits of a diet that is varied in the consumption amount of sodium, fluids or other symptom reducing dietary changes along with exercise programs in hopes to share this method of treatment with their future POTS patients. Although there is information lacking in the best, and most efficient way to relieve symptoms while achieving the maximum overall quality of life, gaps of knowledge in this review regarding treatment of POTS can be filled in

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