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“The fast heart rate is the signal, not the illness. We can bring a patient's heart rate down to normal and still have a young person who can't get through a shower or a school day.”
“Most cardiac tests are done with the patient lying down or sitting still, and POTS is a problem of standing up. The biggest change would be that patients would be believed. For many, this would be the first time medicine took them seriously.”
“When any of us stands up, gravity pulls about a pint of blood down into our legs and belly, and the autonomic nervous system, the body's automatic control system, instantly tightens the blood vessels to push that blood back up to the heart and brain. In POTS, that system doesn't work properly.”
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Fudim et al. (2026) studied this question.
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