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Postural (Orthostatic) Tachycardia Syndrome (POTS)

Angelique S Forrester, MD Reviewed 05/2023
 


BASICS

Postural tachycardia syndrome (POTS) is considered one of the most common presentations of presyncopal and syncopal events secondary to autonomic dysfunction. Initially identified in 1982 and f...

DIAGNOSIS

HISTORY

  • Patients may complain of a wide variety of symptoms. Onset may be insidious or sudden. Sudden onset may be associated with a recent viral infection. The most common symptoms seen in P...

TREATMENT

GENERAL MEASURES

  • Initial treatment measures focus on identifying and mitigating any potential reversible causes (i.e., medications that may cause or exacerbate hypotension or affect vascular ...

ONGOING CARE

FOLLOW-UP RECOMMENDATIONS

No specific follow-up interval has been established by the Heart Rhythm Society. Treatment and frequency of follow-up visits should be individualized. 

DIET

Patient...

REFERENCES

1
Olshansky, Brian, Cannom D, Fedorowski A, et al. Postural orthostatic tachycardia syndrome (POTS): a critical assessment. ProgCardiovascDis. 2020;63(3):263-270.
2
Arnold AC, Ng J, Raj SR. Po...

ADDITIONAL READING

  • Benarroch  EE. Postural tachycardia syndrome: a heterogeneous and multifactorial disorder. Mayo Clin Proc.  2012;87(12):1214–1225. [View Abstract on ...

SEE ALSO

Hypermobility Syndrome; Myalgic Encephalomyelitis/Chronic Fatigue Syndrome (CFS) 

CODES

ICD10

I49.8 Other specified cardiac arrhythmias 

SNOMED

371073003 Postural orthostatic tachycardia syndrome 

CLINICAL PEARLS

  • POTS patients suffer from diverse symptoms and manifest postural tachycardia without orthostatic hypotension.

  • Etiologies are multifactorial.Most patients benefit from a multidisciplinar...

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