Diagnosing and Treating Postural Orthostatic Tachycardia Syndrome (POTS) in Long COVID patients

Patients can find these symptoms debilitating, affecting function and mood, and limiting the ability to work and activities. [...] While patient is lying down, measure blood count, electrolytes (Na+, K+, and CL-), renal and record heart rate and blood function (creatinine and urea), iron, TSH, and morning pressure once per minute for 3 cortisol level. [...] Ask patient to stand up and lean with As noted in this CMAJ paper, orthostatic tachycardia their back against the wall with feet may vary slightly from day to day and can be greater together, touching only shoulder blades in the morning than later in the day: “If a clinician has to the wall. [...] While patient is standing, measure and evaluation, reassessment at a later date is prudent, record heart rate and blood pressure preferably in the morning.” once per minute for 10 minutes, and record any spontaneously reported symptoms during the test, including Symptoms other indications of orthostatic POTS symptoms typically last more than three intolerance. [...] Common symptoms associated with a a sustained increase in heart rate of 30 bpm change in position (e.g., from lying down to standing or greater (40 bpm or greater in up) are lightheadedness, palpitations, tremulousness children/adolescents) from lying down to and atypical chest discomfort.