POTS and Long COVID: A Dizzying Partnership

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POTS and Long COVID: A Dizzying Partnership
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Researchers are finding a strong link between COVID-19 infection and the development of POTS. Here's what you need to know—and ways to manage the chronic condition.

Postural orthostatic tachycardia syndrome, a form of dysautonomia, often develops after COVID-19 illness.POTS causes symptoms including lightheadedness, fainting, heart palpitations, and shakiness.Long-haulers struggle with a multitude of lingering and often disabling symptoms. One particularly troubling cluster of symptoms is autonomicdysfunction. In fact, a recent international survey revealed that 67 percent of long-haulers report moderate to severe autonomic dysfunction .

What is the connection between long COVID, dysautonomia, and the new onset of POTS? This post aims to answer that question. Viral infections like COVID-19 may cause a specific type of dysautonomia: POTS. Researchers are consistently finding a strong link between COVID-19 infection and the development of POTS in patients who previously didn’t experience dysautonomia. Research has shown that the emergence of dysautonomia in long COVID patients is not associated with the severity of the original COVID-19 infection.Source: Jennifer Henderson, PhDPostural orthostatic tachycardia syndrome is a form of dysautonomia.

This doesn’t happen with people who have POTS. When they stand, the process of increasing blood flow to the brain doesn’t work as it should. The longer they stand, the more blood will pool in the lower half of their body. Prolonged standing, like waiting in line at the grocery store, may cause hypotension or hypertension . This then can cause dizziness, lightheadedness, fainting, brain fog, heart palpitations or chest pain, shakiness, and shortness of breath.

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