Postural Orthostatic Tachycardia Syndrome (POTS): A Diagnostic Dilemma

Kamal Soliman; Steve Sturman; Prabodh K Sarkar; Atef Michael


Br J Cardiol. 2010;17(1):36-39. 

In This Article


A 46-year-old woman was referred with a five-year history of episodic headache, palpitation, giddiness, sweating and near syncope. She also complained of intermittent paraesthesia, with or without headache, affecting the four distal limbs. The symptoms were related mainly to standing. There was no vertigo or tinnitus. Six months prior to presentation her symptoms had become intrusive and had led to her losing time from work. Her past medical history includes migraine and pancreatic dysfunction diagnosed a few years ago. One of her sisters has anxiety disorder. She has been using pancreatin, co-dydramol, pantoprazole and diazepam on an as-required basis.


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