Clinical and Laboratory Improvement in Hyperadrenergic Postural Orthostatic Tachycardia Syndrome (POTS) after COVID-19 Infection

A 32-year-old woman with a history of symptomatic supraventricular tachycardia, inappropriate sinus tachycardia, and hyperadrenergic POTS was treated with ivabradine and metoprolol. She then presented with bradycardia and Mobitz II second-degree AV block on event monitoring six weeks after COVID-19...

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Main Authors: Rebecca A. Ocher, Erika Padilla, Jonathan C. Hsu, Pam R. Taub
Format: Article
Language:English
Published: Wiley 2021-01-01
Series:Case Reports in Cardiology
Online Access:http://dx.doi.org/10.1155/2021/7809231
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author Rebecca A. Ocher
Erika Padilla
Jonathan C. Hsu
Pam R. Taub
author_facet Rebecca A. Ocher
Erika Padilla
Jonathan C. Hsu
Pam R. Taub
author_sort Rebecca A. Ocher
collection DOAJ
description A 32-year-old woman with a history of symptomatic supraventricular tachycardia, inappropriate sinus tachycardia, and hyperadrenergic POTS was treated with ivabradine and metoprolol. She then presented with bradycardia and Mobitz II second-degree AV block on event monitoring six weeks after COVID-19 infection. Her post-viral workup revealed normalization of catecholamine levels and significant symptomatic improvement in heart rate. To the authors’ knowledge, this is the first reported case of improvement in POTS after COVID-19 infection. As our understanding of COVID-19 continues to improve, it will be vital to better understand the impact of COVID-19 dysautonomia on cardiac patients.
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spelling doaj-art-923acc0dca654f6492ee970825cbf6f92025-08-20T02:10:03ZengWileyCase Reports in Cardiology2090-64042090-64122021-01-01202110.1155/2021/78092317809231Clinical and Laboratory Improvement in Hyperadrenergic Postural Orthostatic Tachycardia Syndrome (POTS) after COVID-19 InfectionRebecca A. Ocher0Erika Padilla1Jonathan C. Hsu2Pam R. Taub3Department of Medicine, University of California, Los Angeles, Los Angeles, California, USADivision of Cardiovascular Medicine, Department of Medicine, University of California, San Diego, California, USADivision of Cardiovascular Medicine, Department of Medicine, University of California, San Diego, California, USADivision of Cardiovascular Medicine, Department of Medicine, University of California, San Diego, California, USAA 32-year-old woman with a history of symptomatic supraventricular tachycardia, inappropriate sinus tachycardia, and hyperadrenergic POTS was treated with ivabradine and metoprolol. She then presented with bradycardia and Mobitz II second-degree AV block on event monitoring six weeks after COVID-19 infection. Her post-viral workup revealed normalization of catecholamine levels and significant symptomatic improvement in heart rate. To the authors’ knowledge, this is the first reported case of improvement in POTS after COVID-19 infection. As our understanding of COVID-19 continues to improve, it will be vital to better understand the impact of COVID-19 dysautonomia on cardiac patients.http://dx.doi.org/10.1155/2021/7809231
spellingShingle Rebecca A. Ocher
Erika Padilla
Jonathan C. Hsu
Pam R. Taub
Clinical and Laboratory Improvement in Hyperadrenergic Postural Orthostatic Tachycardia Syndrome (POTS) after COVID-19 Infection
Case Reports in Cardiology
title Clinical and Laboratory Improvement in Hyperadrenergic Postural Orthostatic Tachycardia Syndrome (POTS) after COVID-19 Infection
title_full Clinical and Laboratory Improvement in Hyperadrenergic Postural Orthostatic Tachycardia Syndrome (POTS) after COVID-19 Infection
title_fullStr Clinical and Laboratory Improvement in Hyperadrenergic Postural Orthostatic Tachycardia Syndrome (POTS) after COVID-19 Infection
title_full_unstemmed Clinical and Laboratory Improvement in Hyperadrenergic Postural Orthostatic Tachycardia Syndrome (POTS) after COVID-19 Infection
title_short Clinical and Laboratory Improvement in Hyperadrenergic Postural Orthostatic Tachycardia Syndrome (POTS) after COVID-19 Infection
title_sort clinical and laboratory improvement in hyperadrenergic postural orthostatic tachycardia syndrome pots after covid 19 infection
url http://dx.doi.org/10.1155/2021/7809231
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