AJP Rep 2015; 05(01): e33-e36
DOI: 10.1055/s-0034-1544106
Case Report
Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.

A Case Report and Review of Postural Orthostatic Tachycardia Syndrome in Pregnancy

Brianna Lide
1  Texas A and M University College of Medicine, Temple, Texas
,
Sina Haeri
2  St. David's North Austin Medical Center, Austin, Texas
3  Department of Obstetrics and Gynecology, Baylor College of Medicine, Houston, Texas
› Author Affiliations
Further Information

Publication History

16 July 2014

28 November 2014

Publication Date:
04 March 2015 (online)

Abstract

Purpose Postural orthostatic tachycardia syndrome (POTS) is a form of orthostatic intolerance characterized by an increased heart rate upon transition from supine to standing, and head-up tilt without orthostatic hypotension. Its etiology is multifactorial, and no clear cause has been identified. Common symptoms include light-headedness, blurred vision, weakness, cognitive difficulties, and fatigue and are often accompanied by palpitations, shortness of breath, syncope, or gastrointestinal symptoms. Management includes volume expansion, physical counter maneuvers, and pharmacological agents such as fludrocortisone, midodrine, propranolol, and pyridostigmine. The course of POTS in pregnancy is variable and POTS has not been directly implicated in any adverse outcomes for the mother or fetus.

Methods Two cases of POTS in pregnancy are presented, along with a review of the literature for reports of POTS in pregnancy.

Results Along with our 2 cases, 10 other case reports were identified and included.

Conclusion The course of POTS in pregnancy is variable, and not directly linked to increase perinatal morbidity or mortality. Women can safely undergo regional anesthesia, and vaginal delivery with close monitoring of hemodynamic changes.