This activity is part of the Frankly Speaking with Dr. Frank Domino podcast series.


0.25 CME/CE Credit

Chalk It Up to Stress and Anxiety or Is There More to It? - Frankly Speaking Ep 323Guest: Mariyan L. Montaque, DNP, FNP-BC
Music Credit: Richard Onorato

This episode will explore a common syndrome that is often misdiagnosed and underdiagnosed. Listen in as we discuss the cardinal symptoms and diagnostic criteria for postural orthostatic tachycardia syndrome (POTS) and learn about different management options, including the benefits of salt. 

Episode references and resource links: 

  • Zha K, Brook J, McLaughlin A, Blitshteyn S. Gluten-free diet in postural orthostatic tachycardia syndrome (POTS). Chronic Illness. 2022;0(0). doi:10.1177/17423953221076984
  • Cooperrider, J., Kriegler, J., Yunus, S., & Wilson, R. (2022). A Survey-Based Study Examining Differences in Perception of Postural Orthostatic Tachycardia Syndrome Between Patients and Primary Care Physicians. Cureus, 14(10).
  • Raj, S. R., Fedorowski, A., & Sheldon, R. S. (2022). Diagnosis and management of postural orthostatic tachycardia syndrome. Cmaj, 194(10), E378-E385.
  • Williams, E. L., Raj, S. R., Schondorf, R., Shen, W. K., Wieling, W., & Claydon, V. E. (2022). Salt supplementation in the management of orthostatic intolerance: Vasovagal syncope and postural orthostatic tachycardia syndrome. Autonomic neuroscience, 237, 102906.



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CME/CE Information

0.25 AMA PRA Category 1 Credits

Release Date: 4/10/2023

Expiration Date: 4/10/2025

Learning Objectives

  • Identify how to diagnose postural orthostatic tachycardia syndrome (POTS) and recognize the diagnostic criteria
  • Discuss how to manage POTS in primary care


Frank J. Domino, MD

Professor, Family Medicine and Community Health,
University of Massachusetts Medical School, Worcester, MA

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Mariyan L. Montaque, DNP, FNP-BC

Instructor, Department of Family Medicine & Community Health, University of Massachusetts, Worcester, MA; Term Lecturer, Family Health Practicum, MGH Institute of Health Professions, Boston, MA; Visiting Assistant Professor, Department of Business Fitchburg State University, Fitchburg, MA. 

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The following relevant financial relationships have been disclosed by faculty, and all have been mitigated by Pri-Med Institute.

Frank J. Domino, MD: Has disclosed no relevant financial relationships. 

Mariyan L. Montaque, DNP, FNP-BC: Has disclosed no relevant financial relationships.

Non-faculty contributors involved in the planning, development, editing, and review of the content have disclosed no relevant financial relationships. 

CME/CE Information

AMA PRA Category 1 Credits

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Chalk It Up to Stress and Anxiety or Is There More to It? - Frankly Speaking Ep 323