The American Autonomic Society recently published a summary review of the signs and symptoms emerging in many patients who have been infected and recovered with the SARs-COVID-19 virus. This review was from the collective reports from medical records from patients in the U.S., Canada and then United Kingdom and the authors termed the chronic post infectious COVID complications “Long -COVID” or in Europe “Post-Acute COVID syndrome” or PACS, depending on if the symptoms are acute (within the first four weeks post infection) or chronic (12 weeks or greater). (Clin. Aut. Res. https://doi.orh/10.1007/s10286-021-00798-2)
PACS is a symptom complex that occurs within twelve weeks (12) after a COVID infection and includes any of the following:
Excessive Orthostatic Tachycardia leading to: Post COVID -10 Postural Orthostatic Tachycardia Syndrome (POTS)
Anecdotal information from several published case reports from the U.S., Canada, and the UK, report diagnoses of POTS made in Long -COVID patients up to twelve weeks after infection and including “excessive orthostatic tachycardia (heart rate increase of > 30 beats per minute in adults, and > 40 beats per minute in patients 12-19 years of age) within 10 Minutes of assuming an upright posture, in the absence of orthostatic hypotension.”
“With associated symptoms of orthostatic intolerance for at least three months”
Thus, if within the twelve-week window post infection, these patients are termed “Long COVID-POTS”
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