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Case report
Postural orthostatic tachycardia syndrome in primary care: diagnosis, treatment and a case of African-American man presenting with POTS
  1. Andrew T Del Pozzi1,
  2. Michael Enechukwu2 and
  3. Svetlana Blitshteyn3
  1. 1 Department of Kinesiology, Ball State University, Muncie, Indiana, USA
  2. 2 Department of Medicine, State University of New York Upstate Medical University College of Medicine, Syracuse, New York, USA
  3. 3 Department of Neurology, State University of New York at Buffalo School of Medicine and Biomedical Sciences, Buffalo, New York, USA
  1. Correspondence to Dr Svetlana Blitshteyn, sb25{at}


Postural orthostatic tachycardia syndrome (POTS) is a heterogeneous autonomic disorder characterised by orthostatic intolerance and a rise in heart rate by at least 30 bpm or an absolute heart rate value of at least 120 bpm within 10 min of standing or during a tilt table test. Overwhelmingly, POTS affects young Caucasian women, which can lead physicians to miss the diagnosis in men or non-white patients. We describe a case of 29-year-old African-American man who developed lightheadedness, generalised weakness, tachycardia and palpitations and was subsequently diagnosed with POTS. We review its clinical features, differential diagnosis, pathophysiology and treatment options. We also emphasise that POTS should be considered as a differential diagnosis in any patient presenting with typical clinical features, who may not be in the usual demographics of the disorder.

  • Neurology (drugs And Medicines)
  • Primary Care
  • General Practice / Family Medicine
  • Neurology
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  • Contributors ATDP: wrote and edited the manuscript and approved the final version. ME: edited the manuscript and checked for accuracy of the treatment protocols and approved the final version. SB: the primary treating physician; edited the manuscript and checked for accuracy of the state treatment protocols and approved the final version.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Competing interests None declared.

  • Provenance and peer review Not commissioned; externally peer reviewed.

  • Patient consent for publication Obtained.

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