POTS Syndrome - Mayo Clinic

Phil Fischer, M.D., discusses the latest research on Postural Orthostatic Tachycardia Syndrome (POTS)

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  Science & Technology

[SNAPkids1991]

Hi Dr. Fischer,

My 12 year old daughter has spent the past 7 weeks at home with significant symptoms. So far no answers but POTS is at the top of the list. Her doctors aren't very familiar with this level of POTS. Is there someone in the San Francisco Bay area that you recommend we check in with for a consultation?

Thank you!!

[Mayo Clinic]

Hello, we went ahead and forwarded your question to Dr. Fischer and will contact you with his response. Thanks!

[Mayo Clinic]

Hello, we have Dr. Fischer's response but wonder if you would please contact shephard.susana@mayo.edu so we can forward it to you? Thanks!

[Andrew Barley]

Hi Dr. Fischer,

I have had POTS since about 18 and am now almost 22, male. My POTS is quite mild and my heart rate is my main symptom, it goes up from say 60-70 resting to around 90-100. I was wondering, is it possible for this to go away on its own in time as I got it as a teenager?

Also, would a beta-blocker be able to control the 30 beat increase? My blood pressure is usually normal and increases when standing for around 5 minutes.

Thanks!

[Mayo Clinic]

Hello, Andrew, and thanks for your comment. We have forwarded it to Dr. Fischer for his review and we will send you his response.

[Mayo Clinic]

Hi, Andrew. Here is Dr. Fischer's response:

"Thanks for writing. We now know that normal teenagers can have postural heart rate increases of 40 beats per minute while adults are usually less than 30. As a 22 year old, it sounds like your POTS has almost resolved already (as we would expect it to) and that your heart rate increases are nearly normal. I would expect that you would continue to recover without needing a beta blocker. Keep up the good work! -Phil Fischer"

[Sarah Hathaway]

Hi Dr. Fischer,

I am 21 years old and have recently become aware of my hypersensitivity to postural changes due to panic disorder. My father is a cardiologist and I asked him about POTS and he said he thought that could definitely be something I have that makes panic worse. When I'm sitting my heartrate is usually btw 70- and 85 bpm, and then standing is usually 115 or more. I was just wondering if that sounded like POTS to you? I also have pretty low bp, usually 102/70.

Thanks!

Sarah

[Luis Lomeli]

Which beta-blockers have you used and which seem to be most effective? This would be helpful to know since they vary in their inherent properties!

[Andrew Barley]

Thank you for your reply, have you seen anyone get POTS at the age of 17-18 and almost recover? I just feel like I got it a little too late and it might not resolve fully!

Do you have an email address to communicate rather than youtube?

Thanks for your reply much appreciated!