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Postural (Orthostatic) Tachycardia Syndrome (POTS)

Angelique S. Forrester, MPH, MD, Sarah L. Carroll, DO and Roselyn Jan W. Clemente-Fuentes, MD, FAAFP Reviewed 06/2019
 


BASICS

DESCRIPTION

Clinical condition characterized by development of symptoms upon standing (e.g., postural light-headedness, weakness, and palpitations), associated with an increase in the heart rate...

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

  • In general, patients require a multidisciplinary approach that involves more than pharmacologic interventions, including physical therapy, occupational therapy, and in some c...

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
Sheldon RS, Grubb BPII, Olshansky B, et al. 2015 Heart Rhythm Society expert consensus statement on the diagnosis and treatment of postural tachycardia syndrome, inappropriate sinus tachyc...

ADDITIONAL READING

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

  • Sidhu B, Obiechi...

SEE ALSO

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

CODES

ICD10

I49.8 Other specified cardiac arrhythmias 

ICD9

427.89 Other specified cardiac dysrhythmias 

SNOMED

371073003 Postural orthostatic tachycardia syndrome 

CLINICAL PEARLS

  • POTS is the presence of symptoms upon standing, with manifestation of tachycardia and without orthostatic hypotension.

  • Etiologies are usually multifactorial, and most patients benefit f...

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