Cases of postural orthostatic tachycardia syndrome (POTS) have increased since the pandemic. The condition is mostly found in women and can be debilitating. It is often exacerbated by a viral infection like Covid-19 and does not have a cure.Â
What defines this syndrome? POTS is a "condition that causes a number of symptoms when you transition from lying down to standing up, such as a fast heart rate, dizziness and fatigue," said the Cleveland Clinic. If you have POTS, your body "can't coordinate the balancing act of blood vessel constriction (squeezing) and heart rate response," which means your body "can't keep your blood pressure steady and stable."Â
The condition affected between 1 million and 3 million people prior to 2020. Research now suggests anywhere from 2% to 14% of people infected with Covid-19 may develop POTS. "The most common trigger of POTS is a viral infection," Svetlana Blitshteyn, a neurologist and the director of the Dysautonomia Clinic in Buffalo, New York, said to CBS News. This includes viruses like influenza and parvovirus and Covid-19."
There has been a recent slew of diagnoses in teens and adults who were otherwise healthy. Specifically, highly trained female athletes have been affected. "These patients are young people in their 20s, 30s and 40s who were healthy or had minor medical problems that didn't impact their lives before, and now they are expressing extreme fatigue, dizziness, headache, inability to exercise, and some are unable to work," Blitshteyn said.Â
However, doctors are not quick to diagnose POTS. "Since POTS isn't technically life-threatening, if you're fatigued or fainting, have a racing heartbeat, a doc will likely scan you for other, perhaps more immediately dangerous, things before considering POTS," said Self.
Who is most affected? "It's not a lock-and-key situation with just anybody getting Covid and then POTS," Camden Hebson, a pediatric cardiologist, said to The Washington Post. "It's that some patients had a predisposition to POTS to begin with, and then something comes along … to give them a push." POTS is largely found in women, who are thought to be "more vulnerable to inflammation," said the Post. |