POTS

Posted By Phillips on November 11, 1997 at 20:00:28:









I was recently diagnosed with postural orthostatic tachycardia syndrome via
tilt table. My symptoms at the time were resting and standing tachycardia.
I also had tremors, flushing, voice sounding "shakey (shaky)", palpitations and
shortness of breath. However I was also extremely hypertensive (160/120)
Standing, active heart rates 140-160. I realize that hypertension is unusual
with POTS and the explanation I received was that I was having a sympothetic over
response to the cerebral hypotension. Does this seem likely? I was started on
clonidine for these symptoms, which did improve. However I did go on to develop
hypotension and am know on midodrine and florinef. The clonidine was recently
stopped and the sympothetic sxs are returning with minimal change in blood pressure.
I'm under the impression that POTS doesn't progress, but this seems to be progression.
What is your opinion?