Postural Orthostatic Tachycardia Syndro

Question

Asked for Male, 30 Years

My resting heart rate differs when I stand up and lying down by more than 30 beats and at times I feel my heart is pounding without a reason feel light headed giddiness. Just wanted to check if I have Postural Orthostatic Tachycardia Syndrome (POTS) what are the ways of diagnosis

Answers (2)

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Dr. M.S.S.Mukharjee

Cardiologist 23 yrs exp Hyderabad

POTS is an unlikely diagnosis in men. But it can be easily tested and confirmed with the monitoring of heart rate and BP. The monitoring of the heart rate is by Holter and that of the BP is by ABPM. Further tests include investigations for the autonomic response and is done by electrophysiologists, a group of cardiologists specialising in heart rhythm. Basic investigations also include CBP, ECHO, serum or urine metanephrines.

Next Steps

If the diagnosis is confirmed, exercise is the first step in the treatment. Supine exercises are to be preferred. These include rowing, swimming, and recumbent cycling. Increased fluid and salt intake is advised.

Health Tips

This diagnosis requires a specialist. Please meet him if you have significant symptoms.

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Dr. Ajeya N. Ukadgaonkar Interventional Cardiologist 13 yrs exp Aurangabad · Accepted Answer

Dr. Ajeya N. Ukadgaonkar

Interventional Cardiologist 13 yrs exp Aurangabad

Hello, You can take your bp in lying down position and 3 minutes after standing still. If the pulse raises by more than 30 or BP falls by more than 20 mmHg after 3 min of standing, its called postural tachycardia and hypotension. Common cause is dehydration. Have plenty of oral liquids and salt. Take care. Stay safe.