Faqs

1. What is POTS (Postural Orthostatic Tachycardia Syndrome)?

POTS is a form of dysautonomia where the heart rate increases abnormally (30+ bpm in adults, 40+ bpm in teens) within 10 minutes of standing, without a significant blood pressure drop. It causes symptoms like dizziness, fatigue, and rapid heartbeat.

2. Is POTS more common in women?

Yes—POTS disproportionately affects women, especially between the ages of 15 and 50. Hormonal fluctuations may contribute to symptom severity and frequency.

3. What causes POTS?

POTS can be triggered by viral infections, trauma, surgery, pregnancy, or autoimmune disorders. Some patients also have hypovolemia (low blood volume) or small fiber neuropathy.

4. How common is POTS?

It’s estimated to affect 1–3 million people in the U.S. alone. However, many cases go undiagnosed due to symptom overlap with other conditions.

5. Can POTS be treated—and what about medications like Ivabradine?

There’s no cure, but many improve with lifestyle changes (hydration, salt, compression, exercise). Ivabradine can help manage excessive heart rate in some cases. It should only be used under the care of a specialist.
We recommend seeing Dr. Suleman at POTS.net for expert diagnosis and treatment.

6. Is POTS a heart condition?

Not exactly. While it involves the heart rate, POTS is a neurological disorder of the autonomic nervous system, not a primary cardiac disease. However, symptoms often mimic heart issues, which is why proper evaluation is essential.

7. What is Hypovolemic POTS?

Hypovolemic POTS is a subtype where patients have reduced blood volume, contributing to rapid heart rate and low blood pressure when upright. Treatment often includes increasing fluid and salt intake under medical guidance.

8. Can POTS go away on its own?

Some patients—especially adolescents—may see partial or full remission over time. Others manage symptoms long-term with lifestyle changes and medications. Early diagnosis and specialist care improve outcomes.

9. What’s the difference between POTS and Neurocardiogenic Syncope?

While both involve fainting, POTS causes sustained symptoms with a rapid heart rate, whereas Neurocardiogenic Syncope (NCS) leads to a sudden drop in heart rate and blood pressure, causing abrupt fainting. They may overlap, but their triggers and management differ

10. Why should I see a POTS specialist instead of a general doctor?

POTS is complex and often misdiagnosed. A POTS specialist—like Dr. Suleman at POTS.net—uses advanced autonomic testing and tailored treatment plans to address the full spectrum of symptoms.

11. What treatment results have patients seen?

Many patients report significant improvement in symptoms such as fatigue, dizziness, rapid heartbeat, and brain fog after beginning treatment. While results vary by individual, consistent care and a personalized treatment plan often lead to enhanced daily functioning and a better quality of life over time.

12. Do I need a referral from a physician or PCP?

No, a referral is not required to schedule an appointment. However, if your insurance provider requires one, we recommend checking with them directly. Our team is happy to assist if documentation is needed.

13. Are any changes made to my current prescribed medications?

Your current medications will be carefully reviewed as part of your evaluation. Any changes or adjustments will be discussed in detail with you and made only if necessary to better manage your symptoms or avoid potential interactions. We always aim to work collaboratively with your existing healthcare providers.

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