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Review
. 2013 Jun 11;127(23):2336-42.
doi: 10.1161/CIRCULATIONAHA.112.144501.

Postural tachycardia syndrome (POTS)

Satish R Raj  1
Affiliations
Review

Postural tachycardia syndrome (POTS)

Satish R Raj. Circulation. .
No abstract available

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Conflict of interest statement

Conflict of Interest Disclosures: None.

Figures

Figure 1
Figure 1. Heart Rate and Blood Pressure with Upright Tilt in POTS
Heart rate (HR), blood pressure (BP), and tilt table angle are shown for a representative patient with the postural tachycardia syndrome (POTS; left) and for a healthy subject (right) during a 30 minute head-up tilt test. With tilt, HR immediately increases in POTS and peaks at over 170 bpm prior to the end of the tilt, while the HR of the healthy subject rises to just over 100 bpm. BP was largely unchanged in the POTS patient. Figure reprinted with permission from Raj SR et al., Indian Pacing Electrophysiol. J. 2006;6:84-99 .
Figure 2
Figure 2. Dependent Acrocyanosis in POTS
A striking physical feature in postural tachycardia syndrome (POTS) is the gross change in dependent skin color that can occur with standing. The panel shows the legs of a healthy subject (left) and a patient with POTS (right) after standing for 5 minutes. The patient with POTS (right) has significant dark red mottling of her legs extending up to the knees while standing, while the healthy subject does not have a similar discoloration. Figure reprinted with permission from Raj SR et al., Indian Pacing Electrophysiol. J. 2006;6:84-99 .
See this image and copyright information in PMC

References

    1. Raj SR. The Postural Tachycardia Syndrome (POTS): pathophysiology, diagnosis & management. Indian Pacing Electrophysiol J. 2006;6:84–99. - PMC - PubMed
    1. Singer W, Sletten DM, Opfer-Gehrking TL, Brands CK, Fischer PR, Low PA. Postural Tachycardia in Children and Adolescents: What is Abnormal? J Pediatr. 2012;160:746–752. - PMC - PubMed
    1. Brewster JA, Garland EM, Biaggioni I, Black BK, Ling JF, Shibao CA, Robertson D, Raj SR. Diurnal variability in orthostatic tachycardia: implications for the postural tachycardia syndrome. Clin Sci (Lond) 2012;122:25–31. - PMC - PubMed
    1. Garland EM, Raj SR, Black BK, Harris PA, Robertson D. The hemodynamic and neurohumoral phenotype of postural tachycardia syndrome. Neurology. 2007;69:790–798. - PubMed
    1. Peggs KJ, Nguyen H, Enayat D, Keller NR, Al-Hendy A, Raj SR. Gynecologic disorders and menstrual cycle lightheadedness in postural tachycardia syndrome. Int J Gynaecol Obstet. 2012;118:242–246. - PMC - PubMed

MeSH terms