Overview
- Karolinska Institutet prospectively assessed 467 non-hospitalized, highly symptomatic long COVID patients about 12 months after infection and diagnosed POTS in 31%.
- POTS prevalence in this selected group far exceeds pre-pandemic estimates in Sweden, which were below 1%.
- The cohort skewed heavily female, with 91% middle-aged women who had been healthy and active before long COVID.
- Diagnosed patients recorded higher heart rates during walking tests, shorter six-minute walk distances, and lower health-related quality of life.
- The team advises evaluating long COVID patients with orthostatic tachycardia, dizziness, brain fog, or pronounced fatigue for POTS, and has planned four- and five-year follow-ups including hospitalized cases.