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Postural orthostatic tachycardia syndrome

¹ City Hospital, Birmingham, UK
² University Hospital, Birmingham, UK

Correspondence to:
Correspondence to:
Dr Anil K Agarwal
DGM Building, City Hospital, Dudley Road, Birmingham B18 7QH, UK; anilabliuk{at}yahoo.co.uk

Postural orthostatic tachycardia syndrome (POTS) is an autonomic disturbance which has become better understood in recent years. It is now thought to encompass a group of disorders that have similar clinical features, such as orthostatic intolerance, but individual distinguishing parameters—for example, blood pressure and pulse rate. The clinical picture, diagnosis, and management of POTS are discussed.

Abbreviations: CDC, US Centers for Disease Control and Prevention; CFS, chronic fatigue syndrome; ME, myalgic encephalomyelitis; NMH, neurally mediated hypotension; NRI, norepinephrine reuptake inhibitor; POTS, postural orthostatic tachycardia syndrome; SSRI, selective serotonin reuptake inhibitor