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December 2018 Br J Cardiol 2018;25:140–2 doi:10.5837/bjc.2018.031

Quality of life in postural orthostatic tachycardia syndrome (PoTS): before and after treatment

Toby Flack, Jamie Fulton

Abstract

Introduction Postural orthostatic tachycardia syndrome (PoTS) can be defined simply as a persistent tachycardia, with or without hypotension in the upright posture,1 with symptoms of orthostatic intolerance.2 Diagnosis varies depending on each centre, and may include the three-minute sit-to-stand test, 10-minute lie-to-stand test and/or tilt-table testing. A persistent heart rate rise of 30 or greater in the context of eliciting symptoms of orthostatic intolerance is usually considered diagnostic. It was officially recognised in 1993, but had previously existed under other names including soldier’s heart, Da Costa syndrome, irritable heart

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