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POTS Postural Orthostatic Tachycardia Syndrome

Excessive heart rate increase on standing without orthostatic hypotension.

Written by: Saygı Hospital Health Guide Editorial Board
Last updated:

This content has been compiled by the Saygı Hospital Health Guide Editorial Board and is periodically reviewed by a specialist physician.

References (5)

This content is for informational purposes only and does not constitute medical advice. You can book an appointment at our Acil Servis department. Book Appointment →

What is POTS Postural Orthostatic Tachycardia Syndrome?

Postural Orthostatic Tachycardia Syndrome (POTS) is a chronic autonomic disorder defined as an excessive increase in heart rate (>30 bpm in adults, >40 bpm in adolescents) within 10 minutes of standing without orthostatic hypotension. Symptoms must persist for more than 6 months.

It is most often seen in young women aged 15-50 and may follow viral infections, trauma, surgery or pregnancy. Recently many post-COVID-19 cases of POTS have been reported.

Subtypes include neuropathic, hyperadrenergic and hypovolaemic forms, and treatment is tailored to the subtype.

Symptoms

Palpitations
Dizziness on standing
Pre-syncope or syncope
Severe fatigue and exercise intolerance
Brain fog and difficulty concentrating
Headache
Nausea and gastrointestinal symptoms

Risk Factors

Female sex (4-5x risk)
Age 15-50 years
Recent viral infection (especially COVID-19)
Joint hypermobility (Ehlers-Danlos)
Mast cell activation syndrome
Family history of autoimmune disease
Recent trauma, surgery or pregnancy

When to See a Doctor?

If you experience any of the following symptoms, seek medical attention promptly:

  • Recurrent syncope or pre-syncope
  • Symptoms severe enough to limit daily living
  • Persistent palpitations
  • Severe fatigue and brain fog

Treatment Methods

01
Active stand test and tilt table testing
02
Increased fluid (2-3 L/day) and salt intake
03
Compression stockings
04
Beta blocker (low dose, propranolol)
05
Ivabradine (heart rate control)
06
Fludrocortisone or midodrine in volume expansion
07
Graded aerobic exercise programme

Which Department to Visit?

You can visit our Acil Servis department for these complaints. Our specialist physicians will create the most suitable treatment plan for you.

Learn About Acil Servis Department

Let us help you

You can make an appointment with our specialists or contact us for your concerns.

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Health Disclaimer: The information on this page is prepared for general informational purposes only. It does not replace medical diagnosis and treatment. Please consult your physician for your complaints. Saygı Hospital does not accept responsibility for actions taken based on the information on this page.