POTS Is Not “Just a Fast Heart Rate”
POTS Is Not “Just a Fast Heart Rate” My heart rate was 88 bpm. I stood up. It went to 134 bpm within four minutes. That’s a rise of 46 beats per minute just from changing position. For adults, one of the diagnostic features of Postural Tachycardia Syndrome (POTS) is a sustained increase in heart rate of 30 bpm or more within 10 minutes of standing, alongside symptoms of orthostatic intolerance and without the significant blood pressure drop that would point more towards orthostatic hypotension. So while one smartwatch reading alone does not diagnose POTS, a jump like 88 → 134 bpm shows exactly why simply standing can be difficult. Thankfully, I have been diagnosed and have managed my POTS for years now. And this is something people often misunderstand. Someone with POTS can sometimes manage sitting, moving around or even walking better than standing still. That doesn’t mean the condition is mild. It means the body is having to work differently to keep blood circulating properly while u...