How to treat postural orthostatic tachycardia?

Question

Hello doctor,

I was recently diagnosed with postural orthostatic tachycardia syndrome (POTS) by my family doctor. I have been experiencing lightheadedness and have fainted a few times after standing. My blood pressure is consistently high, averaging 186/102 mmHg, with a normal pulse while lying down. However, as soon as I sit or stand, my blood pressure drops significantly, averaging 104/75 mmHg. I have also been experiencing severe fatigue, and constant body aches, and I often feel short of breath, accompanied by chest tightness and occasional pains. I have recurring tremors in my left arm and fingertip numbness. At night, I often feel foggy-minded, and I sometimes mix up words, with slurred and stuttered speech. The most uncomfortable symptoms I experience are shortness of breath and difficulty breathing. This makes it hard for me to sleep.

I have a three-month-old baby to care for, and I would appreciate any advice on how to temporarily relieve my breathing issues and chest pains until I can see the cardiologist. I am currently taking Citalopram 40 mg at night for depression.

Answer 1

Hello,

Welcome to icliniq.com.

It is postural orthostatic hypotension, meaning a significant drop in blood pressure, which causes fainting and dizziness. To prevent this, avoid sudden movements, such as when getting up from bed. Sit with your legs hanging off the side for a moment before standing. If you feel faint, lie down on the floor immediately; do not try to stand, as you will likely fall.

Additionally, your resting blood pressure is high and needs to be controlled as soon as possible. It appears to be gestational hypertension

(after pregnancy). The chest tightness and breathing difficulty are due to the elevated blood pressure. Take one 5 mg tablet of Amlodipine daily until you see a cardiologist, and avoid sudden movements. Consult your specialist doctor, discuss with him or her, and take the medicines with take the medicines with their consent.

Thanks and regards.