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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Symptoms of Tachycardia, shortness of breath, chest pain, tremors, blurred vision. Possibility of POTS syndrome. On heart monitor

I have a 16 year old daughter, who has been sick for 8 months. We have seen so many Dr's, at this time they have her on a 30 day heart monitor. there thinking maybe she has pots syndrome. symptoms are Tachycardia,weakness,shortness of breath, chest pain, tremors.blurred vision.migraines,blood pooling in limb, chills. low back pain, noise sensitivity , muscle pain, any ideas? We would greatly appreciate it,
Wed, 13 Nov 2013
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General & Family Physician 's  Response
Hello,
Thanks for the query to H.C.M. Forum.
Let me explain you that what is postural orthostatic Tachycardia Syndrome or pots.
This syndrome is characterized by symptomatic orthostatic intolerance ( not orthostatic hypotension) and by either an increase in heart rate to >120 /minute or an increase of 30 beats / minute with standing that subsides on sitting or lying down.
Women are more sufferer of this disease in the age group of 15 -50 years.
Causes may be .
1 Antecedent viral infection as may in your daughter case as there is cough , breathlessness, chest pain.
2 Syncopal symptoms lightheadedness , weakness , blurred vision.
3 Autonomic over activity as palpitations,tremulousness , dysautonomia , fatigue.
My main aim was to highlight various symptoms of pots .
In my opinion your daughter is right and your daughter may be a patient of pots.
2nd reason of such symptoms may be asthmatics allergic bronchitis , diagnosis can be confirmed by physical examination with blood examination for eosinophils count.
3 Tuberculosis , diagnosis can be confirmed by sputum examination and Montox test.
In my opinion consult an immunologist and get his opinion.
Good luck. Dr. HET
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