Non-invasive Vagal Neurostimulation (nVNS) in Adolescents With Postural Orthostatic Tachycardia Syndrome (POTS)
The purpose of this study is to determine if nVNS will decrease autonomic symptom intensity (COMPASS-31 and Child Functional Disability Inventory) in adolescent patients with postural orthostatic tachycardia syndrome (POTS) in comparison to standard recovery STEPS management.
- EligibilityCriteria: Inclusion criteria:  Patient's age 12-19 years of age Newly diagnosed POTS at Mayo Clinic in Rochester Head up tilt table test results in a heart rate increase of 40 or more bpm Consent is able to be obtained appropriately per age  Exclusion criteria:  POTS patients with orthostatic hypotension POTS patients with vasovagal syncope Use of medications other than midodrine or metoprolol Inability to independently utilize the GammaCore device Inability to independently complete surveys or patient logs Patients receiving hormonal therapy other than birth control Pregnancy Prior neck surgery Metallic implant present Cardiac disorder Presence of an eating disorder Use of a feeding tube - HealthyVolunteers: Accepts Healthy Volunteers - Gender: All - MinimumAge: 12 Years - MaximumAge: 19 Years - StdAgeList: Child, Adult