Acta Scientific Clinical Case Reports

Case Report Volume 3 Issue 2

POTS - An Unusual Case of Dysautonomia

Priyanka Mishra1* and Robina Makker2

1Assistant Professor, Department of Anaesthesiology and Critical Care, SGRRIMHS, Uttarakhand, India
2Head, Department of Anaesthesiology and Critical Care, SGRRIMHS, Uttarakhand, India

*Corresponding Author: Priyanka Mishra, Assistant Professor, Department of Anaesthesiology and Critical Care, SGRRIMHS, Uttarakhand, India.

Received: December 30, 20211; Published: January 13, 2022


Postural orthostatic tachycardia syndrome is an unusual disorder of autonomic dysfunction. Healthy patients with long-standing unexplained symptoms, like presyncope, chronic fatigue and sinus tachycardia, are easily misdiagnosed and mistreated. We are discussing the case of a 38-year-old female patient posted for knee arthroscopy for medial meniscus tear, who was first suspected to have this unusual disorder of the autonomic nervous system inside the operation theatre. A cautious observation and evaluation can help in reducing the morbidity and mortality associated with autonomic disorders.

Keywords: Presyncope; Chronic Fatigue; Sinus Tachycardia; Postural Orthostatic Tachycardia Syndrome (POTS)/p>


  1. Karas B., et al. “The postural tachycardia syndrome: a potentially treatable cause of chronic fatigue, exercise intolerance and cognitive impairment”. Pacing and Clinical Electrophysiology 22 (2000): 344-351.
  2. Meredith Bryarly., et al. “Postural Orthostatic Tachycardia Syndrome: JACC Focus Seminar”. Journal of the American College of Cardiology 73 (2019): 1207-1228.
  3. Jacob G., et al. “Hypovolemia in syncope and orthostatic intolerance role of the renin‐angiotensin system”. The American Journal of Medicine 3 (1997): 128-133.
  4. Freitas J., et al. “Clinical improvement in patients with orthostatic intolerance after treatment with bisoprolol and fludrocortisone”. Clinical Autonomic Research 5 (2000): 293-299.


Citation: Priyanka Mishra and Robina Makker. “POTS - An Unusual Case of Dysautonomia". Acta Scientific Clinical Case Reports 3.2 (2022): 28-29.


Copyright: © 2022 Priyanka Mishra and Robina Makker. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.


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