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March 2022 Br J Cardiol 2022;29:5–7 doi:10.5837/bjc.2022.007

Pipedreams, the pandemic and PoTS: is the post-COVID-19 era a turning point for PoTS services?

Morwenna Opie, Michaela Nuttall

Abstract

While the aetiology of this complex condition remains unclear, PoTS has been associated with other conditions, including the Epstein-Barr virus, autoimmune conditions1 such as Sjögren’s syndrome and antiphospholipid syndrome, joint hypermobility conditions,2 and chronic fatigue.3 PoTS, as is the case for most syndromes, presents uniquely in everyone in terms of its thumbprint of symptomatic expression. Similarly, these post-COVID-19 cases, in addition to the diagnostic presence of abnormal response by the autonomic nervous system to upright posture (diagnosed by a sustained increase in heart rate of over 30 bpm in adults within 10 minutes

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