Expert Care You Can Trust

Our POTS testing center is run by highly experienced and dedicated specialists who understand the challenges of autonomic disorders and are committed to providing accurate diagnosis and comprehensive care.

Dr Ron Granot, Neurologist and Founder of East Neurology specializing in autonomic disorders and POTS diagnosis

Dr Ron Granot

Neurologist & Founder of East Neurology

Dr Granot is the highly experienced neurologist behind East Neurology, bringing years of specialized expertise in autonomic nervous system disorders. His dedication to accurate diagnosis and patient-centered care has made East Neurology a trusted name in neurological services.

Dr Jason Kaplan, POTS Specialist Cardiologist with expertise in Postural Orthostatic Tachycardia Syndrome

Dr Jason Kaplan

POTS Specialist Cardiologist

Dr Kaplan is a specialist cardiologist with extensive experience in diagnosing and managing Postural Orthostatic Tachycardia Syndrome. His expertise in cardiac autonomic dysfunction provides patients with comprehensive cardiovascular assessment and tailored treatment strategies.

1
START

The Broken Journey

Years of Uncertainty & Misdiagnosis

5-7
YEARS average wait for POTS diagnosis

The typical delay for a Postural Orthostatic Tachycardia Syndrome (POTS) diagnosis is devastating. Patients spend an average of 5 to 7 years seeking answers, with some waiting over a decade. During this time, they see an average of 7 or more different doctors, each visit bringing more frustration than clarity.

Why does this happen? Common misdiagnoses include:

😰
Anxiety or Panic Disorder
This is the most frequent misdiagnosis, as symptoms like a rapid heart rate, palpitations, shortness of breath, and lightheadedness can mimic a panic attack.
😴
Chronic Fatigue Syndrome (CFS/ME)
Significant and long-lasting fatigue is a primary symptom of POTS, leading to frequent confusion with Chronic Fatigue Syndrome or Myalgic Encephalomyelitis.
😵
Vasovagal Syncope
This condition involves a temporary loss of consciousness, but unlike POTS, it typically includes a drop in blood pressure, which is absent in most POTS cases.
💢
Fibromyalgia
Due to symptom overlap including fatigue and pain syndromes, POTS patients may initially be diagnosed with fibromyalgia.
💓
Inappropriate Sinus Tachycardia (IST)
This condition is an actual heart rhythm disorder that also involves a high resting heart rate, but it is distinct from the postural-related heart rate increase that defines POTS.
😔
Depression
The debilitating nature of chronic symptoms and the lack of a clear initial diagnosis can lead to secondary depression, which is sometimes mistaken for the primary issue.

POTS symptoms (dizziness, brain fog, fatigue, rapid heart rate) are non-specific. Combined with low provider awareness, patients are dismissed, told their symptoms are psychological, or left without any diagnosis at all.

2
RECOGNIZE

Recognizing the Signs

Understanding Your Symptoms

POTS occurs when the autonomic nervous system (which controls automatic body functions like heart rate and blood pressure) doesn't work properly. When you stand up, your heart rate increases excessively (at least 30 beats per minute) without a significant drop in blood pressure.

Common POTS Symptoms:

💫
Dizziness or lightheadedness when standing
💓
Rapid heartbeat (palpitations)
🧠
Brain fog or difficulty concentrating
😰
Excessive fatigue and weakness
🤕
Headaches and neck pain
🥵
Shaking, sweating, or fainting episodes
⚠️ The Hidden Connection
Approximately 50% of POTS patients also suffer from Small Fiber Autonomic Neuropathy (damage to tiny nerve fibers that regulate heart rate, digestion, and sweating). Testing for this overlap is essential to understanding your complete health picture.
3
TEST

Our Method

Fast, Comfortable, Comprehensive Testing

The Autonomics Australia Difference
We understand your journey. Unlike the public system where wait times span months or years, we offer a private setting with rapid scheduling and expert testing. We can book your appointment and have your results within one week. We're here to end your diagnostic odyssey and start your path to management.

Our Comprehensive Testing Protocol

📊
Haemodynamics Monitoring
Precise monitoring of blood pressure and heart rate response to positional changes (lying to standing) to capture the hallmark spikes associated with POTS.
💗
Heart Rate Variability (HRV)
Non-invasive deep breathing test that provides a direct window into your autonomic nervous system's balance between "fight or flight" and "rest and digest" responses.
SudoScan Technology
Revolutionary neuropathy testing: painless, rapid (under 10 minutes), no heating chambers or messy powders. Simply place hands and feet on sensor plates.
🫁
Valsalva Maneuver
This maneuver assesses both cardiovagal and sympathetic adrenergic function. You exhale forcefully into a mouthpiece to maintain a specific pressure (e.g., 40 mmHg) for a set duration (e.g., 15 seconds), while continuous heart rate and blood pressure are monitored. The changes in blood pressure and heart rate across the four phases of the maneuver are analyzed.

Modern Testing vs. Old Methods

The Old Way
Thermoregulatory Sweat Test
  • Placed in heated chamber
  • Covered in color-changing powder
  • Time-consuming (1 to 2 hours)
  • Uncomfortable and demanding
  • Messy cleanup required
The SudoScan Way
Modern Technology
  • Painless: No needles or shocks
  • Rapid: Under 10 minutes
  • Comfortable: Room temperature
  • Simple: Just place hands/feet
  • Clean: No powders or mess
4
DIAGNOSE

Rapid Diagnosis & Management

From Testing to Treatment Plan

Once testing is complete, we provide a rapid, comprehensive report detailing your results. We can book your appointment and have results within one week. A correct diagnosis is your turning point (moving you from years of uncertainty to a structured, evidence-based management plan).

Timeline Comparison: Then vs. Now

5-7
YEARS
Traditional diagnostic journey with multiple misdiagnoses
1
WEEK
Our pathway from booking to diagnosis and treatment plan

What Comes After Diagnosis?

1. Symptomatic Management: Immediate steps to improve quality of life, including fluid and salt loading, compression garments, and physical reconditioning strategies.

2. Disease-Specific Therapy: Targeted medical interventions to address the root cause and stabilize the autonomic nervous system.

End the diagnostic odyssey. Start living again.