Postural Orthostatic Tachycardia Syndrome: Symptoms & Treatment

Written by Medicover Team and Medically Reviewed by Dr Priyanka D , Neurologist

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Postural Orthostatic Tachycardia Syndrome (POTS) is a form of dysautonomia that disrupts normal blood flow and affects the autonomic nervous system.

It leads to significant discomfort, particularly upon standing. Early diagnosis and customized management strategies for POTS symptoms are vital in reducing symptom severity and improving quality of life.

What are the Symptoms and Warning Signs of Postural Orthostatic Tachycardia Syndrome?

POTS symptoms may differ in intensity and presentation but often share common features. These symptoms typically worsen when transitioning from a lying to a standing position and can disrupt daily activities.

Understanding these symptoms helps in early detection and timely medical intervention, reducing complications and improving patient outcomes.

Common Symptoms

• Rapid heart rate increase (tachycardia) when standing
• Lightheadedness or dizziness
• Persistent fatigue and exhaustion
• Nausea and gastrointestinal discomfort
• Heart palpitations or pounding sensation
• Exercise intolerance

Severe Symptoms

• Fainting episodes
• Blurred vision
• Brain fog or difficulty concentrating

Consult a doctor if you experience persistent dizziness, rapid heart rate, or fainting upon standing.

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What are the Different Types of Postural Orthostatic Tachycardia Syndrome?

POTS is classified into several subtypes based on underlying physiological abnormalities. Recognizing the type of POTS a patient has can significantly influence treatment decisions and improve management outcomes over time.

Neuropathic POTS

Caused by nerve damage that affects blood vessel constriction, leading to poor blood flow and pooling in the lower extremities.

Hyperadrenergic POTS

Characterized by elevated norepinephrine levels and symptoms like anxiety, tremors, and high blood pressure when upright.

Secondary POTS

Develops as a result of another condition, such as autoimmune disorders, chronic fatigue syndrome, or after a viral illness.

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What are the Common Causes and Risk Factors of Postural Orthostatic Tachycardia Syndrome?

Multiple contributing factors may lead to POTS. Identifying these helps tailor treatment plans and address the root causes.

Some individuals may develop POTS following a trigger, while others may have predisposing risk factors. Recognizing POTS causes and risk factors ensures a holistic diagnostic approach.

Causes

• Genetic predisposition
• Autoimmune conditions
• Viral infections
• Physical trauma or surgery

Risk Factors

• Female gender (more common in women aged 15–50)
• History of chronic fatigue syndrome or fibromyalgia
• Family history of autonomic disorders
• Prolonged periods of bed rest or inactivity

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How is Postural Orthostatic Tachycardia Syndrome Diagnosed?

POTS diagnosis requires a complete evaluation to differentiate it from similar conditions. Accurate diagnosis ensures timely treatment and improved quality of life.

Medicover utilizes advanced diagnostic tools and experienced specialists to identify and confirm conditions through POTS testing protocols.

Tilt Table Test

Measures heart rate and blood pressure while transitioning from lying down to standing.

Heart Rate Monitoring

Tracking changes in heart rate during daily activity helps confirm diagnostic criteria.

Blood Tests

Used to rule out anemia, thyroid issues, and other possible contributors.

Medicover's cardiology and neurology specialists are equipped with advanced tools to ensure accurate diagnosis.

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What are the Treatment Options for Postural Orthostatic Tachycardia Syndrome?

There is no single cure for POTS, but its symptoms can be managed effectively through a multidisciplinary approach. A combination of lifestyle adjustments, medications, and therapy significantly improves daily functioning and long-term health. POTS treatment plans often include a mix of these strategies.

Lifestyle Changes

• Increase water and salt intake to boost blood volume
• Wear compression garments to reduce blood pooling
• Avoid prolonged standing and rapid postural changes

Medications

• Beta-blockers to manage heart rate
• Fludrocortisone to improve blood volume
• Midodrine to improve blood vessel constriction.

Physical Therapy

Gradual exercise, starting with a recumbent workout, helps improve circulation and tolerance.

Supportive Therapies

CBT and stress management techniques can help manage anxiety and improve coping skills.

Medicover offers individual treatment plans that combine medication, therapy, and rehabilitation.

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When Should You See a Doctor for Postural Orthostatic Tachycardia Syndrome?

You should consult a doctor if you consistently feel lightheaded, experience a rapid heart rate upon standing, or frequently faint. These symptoms could indicate underlying autonomic dysfunction and warrant professional evaluation. Delaying care for POTS symptoms can worsen outcomes and reduce quality of life.

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Recovery Process After POTS Treatment

Recovery varies from person to person and may take months or years. Symptom improvement requires persistence, regular follow-ups, and adjustments to your lifestyle. A supportive healthcare team can guide you through each phase of recovery from POTS.

Post-Treatment Care

• Scheduled check-ups to monitor heart rate and blood pressure
• Nutritional support and physical rehabilitation
• Psychological counseling for emotional well-being

At Medicover, patients receive complete support throughout the recovery journey.

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Preventing Postural Orthostatic Tachycardia Syndrome and Its Complications

Although POTS cannot always be prevented, reducing risk factors can help mitigate its effects. Being proactive with lifestyle habits and health management significantly lowers the chance of symptom flare-ups and long-term complications. Preventing POTS-related issues starts with awareness and daily care.

Prevention Tips

• Maintain hydration and electrolyte balance
• Avoid prolonged bed rest after illness or surgery
• Incorporate gentle physical activity regularly

Possible Complications if Untreated

• Severe fatigue and reduced mobility
• Depression or anxiety
• Impaired quality of life

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Medicover's Experience Treating Postural Orthostatic Tachycardia Syndrome

At Medicover, we understand the complex nature of POTS. Our dedicated specialists collaborate to offer individualized care plans, combining diagnostics, medication, therapy, and lifestyle coaching.

We are committed to helping each patient regain control and improve their quality of life through evidence-based care and empathy.

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