Our thanks to SUTP Medical Advisory Board member Dr. Artur Fedorowski for freely sharing this POTS survey with our community. Dr. Fedorowski has done extensive research on the basic physiology of POTS in his laboratory in addition to his work in clinical practice. We hope that this survey will help to better quantify symptom load in POTS patients and lead to better assessment of the effectiveness of treatment regimens.
Malmo POTS Score (MAPS) English version
Malmo POTS Score (MAPS) Swedish version
This survey was first published in:
Spahic, J. M., Hamrefors, V., Johansson, M., Ricci, F., Melander, O., Sutton, R., & Fedorowski, A. (2023). Malmö POTS symptom score: Assessing symptom burden in postural orthostatic tachycardia syndrome. Journal of Internal Medicine, 293(1), 91-99.
Dr. Fedorowski recommends using this survey to assess symptom burden and help to track symptom load as POTS progresses and as medications or dosages are changed to better understand the impact of new treatments on quality of life.
The Malmo POTS Symptom Score (MAPS), Version 2.0
Hello,
This questionnaire will help assess how affected you are by your POTS-related symptoms. Please complete the following form as accurately as possible.
Please circle the number on following scale that corresponds to your average severity of your symptoms over the past week. You should give an answer for each symptom. If you haven’t experienced symptoms described below, circle zero (0).
No symptoms Worst imaginable
1. Dizziness while standing or after standing up
0 1 2 3 4 5 6 7 8 9 10
2. Feeling that you are going to faint
0 1 2 3 4 5 6 7 8 9 10
3. Feeling rapid heart rate
0 1 2 3 4 5 6 7 8 9 10
4. Shortness of breath when doing an activity (e.g., daily activity, physical activity)
0 1 2 3 4 5 6 7 8 9 10
5. Chest pain
0 1 2 3 4 5 6 7 8 9 10
6. Headache
0 1 2 3 4 5 6 7 8 9 10
7. Concentration difficulties
0 1 2 3 4 5 6 7 8 9 10
8. Muscle pain
0 1 2 3 4 5 6 7 8 9 10
9. Nausea
0 1 2 3 4 5 6 7 8 9 10
10. Stomach or intestinal problems (stomach-ache, diarrhoea, constipation)
0 1 2 3 4 5 6 7 8 9 10
11. Abnormal tiredness that does not go away after rest
0 1 2 3 4 5 6 7 8 9 10
12. Sleeping difficulties
0 1 2 3 4 5 6 7 8 9 10
Skåne University Hospital and Lund University, Malmö, Sweden
Authors: Jasmina Medic Spahic, Viktor Hamrefors, Richard Sutton, and Artur Fedorowski
English version. Date: 20210904
Scores range from 0 to 120. The optimal cutoff to differentiate between POTS patients and healthy controls is ≥42 (Spahic et al. 2023).
Revised version 2.0, approved by the authors