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Large Swedish Study Finds POTS Strikingly Common in Severe Long COVID

Researchers urge routine checks for orthostatic tachycardia using simple tools to guide treatment.

Overview

  • Nearly one-third of highly symptomatic long COVID patients were diagnosed with POTS, far exceeding the pre-pandemic prevalence of under 1% in Sweden.
  • The prospective analysis assessed 467 non-hospitalized patients about 12 months after infection with targeted cardiology evaluations when POTS was suspected.
  • The cohort was overwhelmingly middle-aged women, with 91% female participation among individuals previously healthy and active.
  • Those diagnosed showed higher heart rates during walking tests along with reduced exercise capacity and lower health-related quality of life.
  • Authors recommend systematic screening with inexpensive tests, note available symptom-relieving treatments, and plan 4–5 year follow-ups including previously hospitalized patients.