Postural Orthostatic Tachycardia Syndrome (POTS) is a disorder of the autonomic nervous system that affects blood flow and heart rate. It is characterized by a significant increase in heart rate (typically 30+ beats per minute) when moving from lying down to standing, often accompanied by symptoms like dizziness, fatigue, and lightheadedness.
Postural Orthostatic Tachycardia Syndrome (POTS) affects blood circulation and can lead to reduced blood supply to the brain, causing symptoms that impact daily functioning. It’s more common in women between the ages of 15 and 50 but can affect anyone.
How Is POTS Diagnosed?
POTS is diagnosed through:
- Tilt table testing or active stand tests
- Heart rate and blood pressure monitoring during postural changes
- Blood work and additional tests to rule out other causes of symptoms
A diagnosis requires a consistent increase in heart rate without a significant drop in blood pressure, along with chronic symptoms lasting at least six months.
Common Symptoms Include:
- Rapid heart rate when standing
- Dizziness or lightheadedness
- Extreme fatigue
- Brain fog or trouble concentrating
- Nausea or gastrointestinal discomfort
- Chest pain or palpitations
- Shakiness, especially with prolonged standing
- Cold hands and feet
How Is POTS Treated?
While there is no cure for POTS, individualized treatment plans can significantly improve quality of life by managing symptoms and improving blood flow.
Infusion Therapy at Infusion Specialists
For patients with moderate to severe symptoms, IV infusion therapy can be part of an effective treatment plan. Options may include:
- IV saline infusions to expand blood volume and improve circulation
- IV medications (such as midodrine, fludrocortisone, or beta-blockers) when oral options are not well tolerated