Arrhythmias & electrophysiology

A Community-Based Trial of Commercially Available Compression Tights in Patients With Postural Orthostatic Tachycardia Syndrome

JACC Clin ElectrophysiolPublished Randomised crossover trial

Authors' conclusion

Commercially available compression tights reduced heart rate and symptoms both acutely and after several hours of use. This additional benefit persisted whether concomitant medications were used.

Study context

Population
Patients with postural orthostatic tachycardia syndrome, community-based setting, with and without heart-rate-modulating medications
Participants
26 patients
Comparison
Compression tights on (ON) vs off (OFF)
Primary endpoint
Standing heart rate (Holter) and symptoms (VOSS) during 10-minute active stand tests
Methodological details2 before-after protocols, randomized crossover, community-based, Protocol #1: medications held; protocol #2: medications taken as normal; 4 stand tests each (AM-OFF, AM-ON, PM-ON, PM-OFF)
  • 2 before-after protocols
  • Randomized crossover
  • Community-based
  • Protocol #1: medications held; protocol #2: medications taken as normal; 4 stand tests each (AM-OFF, AM-ON, PM-ON, PM-OFF)

Primary result

As reported in the abstract

Standing heart rate, protocol #1 (medications held) · AM

P < 0.001

Symptoms improved, AM-ON vs AM-OFF
P < 0.001

Further findings

Standing heart rate, protocol #2 (medications as normal) · AM · AM-ON vs AM-OFF · spread printed in brackets, kind not named

P < 0.001

Standing heart rate, protocol #2 (medications as normal) — Symptoms improved, AM-ON vs AM-OFF
P = 0.03

Removal of compression after several hours, protocol #1 · PM

Standing heart rate increased
P = 0.04
Symptoms increased
P = 0.004

Removal of compression after several hours, protocol #2 · PM

Standing heart rate increased
P = 0.02
Symptoms increased
P < 0.001

Original publication

A Community-Based Trial of Commercially Available Compression Tights in Patients With Postural Orthostatic Tachycardia Syndrome. JACC Clin Electrophysiol. Published 27 November 2024. doi:10.1016/j.jacep.2024.09.033

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