POTS Update: LONG COVID: WEARING a HOLTER MONITOR

About 3 months ago I got COVID again and this time it hit me harder than back in December of 2021. After having COVID I have now developed Postural Orthostatic Tachycardia Syndrome (POTS)

What is POTS?

POTS is a form of dysautonomia — a disorder of the autonomic nervous system. This branch of the nervous system regulates functions we don’t consciously control, such as heart rate, blood pressure, sweating and body temperature. The key characteristics of POTS are the specific symptoms and the exaggerated increase in heart rate when standing.

What does POTS stand for?

Postural: related to the position of your body

Orthostatic: related to standing upright

Tachycardia: increased heart rate

Syndrome: a group of symptoms

Why does heart rate increase excessively with POTS?

In most patients with POTS, the structure of the heart itself is normal. POTS symptoms arise from a combination of the following:

Lower amount of blood in the circulation

Excessive pooling of blood below the level of the heart when upright

Elevated levels of certain hormones such as epinephrine (also known as adrenaline since it is released by the adrenal glands) and norepinephrine (mainly released by nerves).

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