Non-invasive Vagus Nerve Simulation in Postural Orthostatic Tachycardia Syndrome

Author:

Chakraborty Praloy1,Farhat Kassem1ORCID,Morris Lynsie1,Whyte Seabrook1,Yu Xichun1,Stavrakis Stavros1ORCID

Affiliation:

1. Heart Rhythm Institute, University of Oklahoma Health and Sciences Center, Oklahoma City, OK, US

Abstract

Postural orthostatic tachycardia syndrome (POTS) is a chronic debilitating condition of orthostatic intolerance, predominantly affecting young females. Other than postural tachycardia, symptoms of POTS include a spectrum of non-cardiac, systemic and neuropsychiatric features. Despite the availability of widespread pharmacological and non-pharmacological therapeutic options, the management of POTS remains challenging. Exaggerated parasympathetic withdrawal and sympathetic overdrive during postural stress are principal mechanisms of postural tachycardia in POTS. Non-invasive, transcutaneous, vagus nerve stimulation (tVNS) is known to restore sympathovagal balance and is emerging as a novel therapeutic strategy in cardiovascular conditions including arrhythmias and heart failure. Furthermore, tVNS also exerts immunomodulatory and anti-inflammatory effects. This review explores the effects of tVNS on the pathophysiology of POTS and its potential as an alternative non-pharmacological option in this condition.

Funder

National Heart, Lung, and Blood Institute

Publisher

Radcliffe Media Media Ltd

Subject

Physiology (medical),Cardiology and Cardiovascular Medicine

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