can you have pots if...

[Kasper87211]

Can you have POTS if you dont Faint?

I mean i FEEL my Blood pressure Drop as my heart rate drops.
I am also anemic but on cardizem for SVT, Thing is, its such a small dose.. 120mg 24hr.

I stand up.. my heart rste jumps to 150-160... sometimes only 140..

i do have real bad anxiety as well..

Very deconditioned as well.. Starting physical therapy etc..

any ideas?
5 "11 110 pounds male..

Ya not good. Can i rule out pots by myself.

it bothers me because my resting BP never leaves 85-90 / 55 60 range unless im eating or something.

SALT doesnt help..

[Kavbear]

Not being a doctor I don't want to say what it is or not. What I DO know is that deconditioning can cause your pulse to increase when you sit or stand and that it can mimic POTS.
I looked over this paper I was given that was written by Phillip Low M.D, He's at the main Mayo, and one of the neurologists who has been doing research on autonomic disorders for years. It's for their doctors to use when giving patients advice, it's not a published  brochure, so I can't point you in its direction but it says that exercise especially leg strengthening is important. The leg muscles squeeze the veins and help pump the blood back up.
My PT gave me large pieces of elastic that I could use to do different exercises with sitting down.  It can help to just sit and squeeze your leg muscles and hold them for a count of 15-30 or what ever you can do. Or sit and pump your foot pushing your toes into the floor and then pulling them up.
I also have counter maneuvers to do to slow my heart down, has your doctor or PT shown you any?
Don't give up!

[Kasper87211]

anyone agree?

[Kasper87211]

ya my hemoglobin was 7.5 last week. turns out a FISTULA over months time kept dropping my hemoglobin due to infection...
bone marrow must not been producing many cells.

with a hemoglobin that low..
i just stood for a minute.. it was 140...
i got up at BOUT 110 bpm..

so its JUST about 30-40 bpm which can indicate pots.. BUT the anemia is so low that my heart HAS TO WORK that hard..

plus i checked my bp.. when i sat back down it was 100/64..
i love HOW THIS FORUM is so supportive but to me it ISNT pots. UNLESS the hemoglobin atleast goes back to 10-13 range

[LivingInHope]

Okay, I have an article that says normalization is supposed to occur in about 60 seconds.  But waiting that extra time is what I believe I was advised to do by a doctor in the past, giving the body even more time to normalize.  If it does not normalize after waiting two to three minutes after standing, and your pulse is still up by 30 or more compared to your laying down pulse, you've got more grounds to be having your eye on pursuing a diagnosis of postural orthostatic tachycardia syndrome, although your deconditioning and anemia can cause tachycardia problems and need to be dealt with as much as possible so it won't convolute the picture as much.  

Another criteria Vanderbilt uses for diagnosing POTS besides a positive tilt table test is a standing plasma noepinephrine of  a minimum of 600 pg/ml.  No one has tested me on that latter one, though I've had various catecholamine related tests come back abnormal at various times.

[Kasper87211]

stand for 2-3 minutes? like after 1 whole minute its like 145-150..

you think 2-3 minutes makes a difference?

[LivingInHope]

Well, the majority of people with POTS don't pass out and the pulse is what you want to be looking at.  The body tries to compensate with the increased pulse and sometimes the blood pressure will go up, like it does at times with me, because the body is over-compensating.  Why not lay 10 minutes, then take your pulse.  Then stand two to three minutes and take your pulse and tell us what your numbers are?