
POTS Check
Orthostatic Intolerance Test
About
What's New in POTS Check
1.2
March 6, 2026
**Version 1.2 — Clinical Alignment Update** This update incorporates direct feedback from the Bateman Horne Center (BHC), a leading ME/CFS and orthostatic intolerance clinic, to improve clinical accuracy and provider usability. **Protocol Updates** • Extended baseline duration: The default supine baseline is now 10 minutes — matching BHC's recommended clinical minimum — up from 5 minutes. Choose 5, 10, or 15 minutes to suit your needs. A 5-minute selection now shows a clear advisory about reduced accuracy. • Blood pressure as the primary protocol path: The test now opens with a BP cuff confirmation step. BP is the recommended protocol path; if you don't have a cuff, the app clearly notes your results are limited in scope and unsuitable for sharing without BP data. • Proportional Pulse Pressure (PPP): A new vascular metric calculated from your standing BP readings. PPP can reveal "failure to constrict" on standing — a key pattern invisible from heart rate alone. Your lowest observed PPP and the minute it occurred appear in results alongside a clinical reference range. • Orthostatic Hypertension detection corrected to use SBP-only criteria (AHA definition). **Results & Reports** • Provider-format PDF report now includes a per-minute clinical data table (HR, SBP, DBP, PPP at each standing minute), matching the format used in specialist clinic presentations. • Verdict language removed: The app no longer renders a diagnostic-style conclusion. Results present your data with established reference ranges and explicit provider-interpretation framing throughout. Blood pressure flags (Orthostatic Hypotension, Orthostatic Hypertension) remain, with explicit AHA source citations. **New Feature: Test Notes** Add free-text notes to any test session — current symptoms, medications, recent activity. Notes appear in results and in the PDF report. **Education & Guidance** • Orthostatic intolerance framing: POTS is just one form of OI. The app now explains the broader context of orthostatic intolerance from first launch through post-test results, informed by BHC clinical guidance. • Pre-test positioning guide: An expandable NASA Lean Test card with visual guidance (buttocks away from wall, knees soft) added to the pre-test checklist. • Pre-test environment instructions updated: quiet, low-lit space, no stimulation, helper encouraged for BP readings. • Recovery guidance expanded: The post-test phase now includes instructions to lie down, elevate feet, drink water, and eat a light snack. • Expanded Learn section with OI, orthostatic hypotension, and vascular response content. **Bug Fixes & Improvements** • BP input: keyboard toolbar and auto-scroll improvements in checklist • Watch-to-iPhone sync improvements after connectivity interruption • Timer memory safety improvements on Apple Watch • PDF consistency between full screening and historical reports • Posture stability detection improvements
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