POTS (Positional Orthostatic Tachy Synd)

Etiology

  • Limited autonomic neuropathy (w/peripheral denervation), though precise cause not necessarily clear
  • Also associated w/brain trauma, deconditioning, viral illness, other

Symptoms

  • Palpitations
  • Sweating
  • Fatigue
  • Symptoms occur w/standing
  • Light headedness, presyncope/syncope

Physical Exam Findings

  • Increase in HR >30, w/o drop in BP when stand
  • HR typically > 120 persistently w/standing