Iron Sucrose in Patients With Iron Deficiency and POTS

Inclusion Criteria:

• Patients (age 12 to years and older) with chronic (>3 months) symptoms of orthostaticintolerance, including but not limited to lightheadedness, syncope, headache, fatigue,weakness, sweating, nausea and heart palpitations.
• Symptomatic orthostatic heart rate increment ≥30 bpm if >19 years old or ≥40 bpm if <19 years old during a 10 minute 70 degree head up tilt study
• Presence of non-anemic iron deficiency, defined as serum ferritin levels <20 ug/L withhemoglobin no less than 1 gm/dL below the normal reference range as defined for ageand gender
• Consent obtained from responsible guardian AND from subjects, 12-17 years of age
• Consent obtained for subjects 18 years of age and older

Exclusion Criteria:

• Orthostatic hypotension (decrease of systolic BP>30 mmHg and/or diastolic BP>15mmHgwithin 3 minutes of 70 degree head up tilt study)
• Pregnant or lactating females
• The presence of failure of other organ systems or systemic illness that can affectautonomic function
• Concomitant therapy with anticholinergic, alpha-adrenergic antagonists,beta-adrenergic antagonists or other medications which could interfere with autonomictesting. Patients may participate if the potentially interfering medication is heldfor five half-lives prior to the study
• Laboratory evidence of anemia or iron overload
• Personal history of hematochromatosis or first degree relative with hematochromatosis
• Known sensitivity to Venofer® (iron sucrose injection, USP) or other intravenous ironpreparation