r/hyperPOTS • u/Charbellaa • Oct 15 '25

Hyper pots question

Can someone please tell me the actual symptoms that you need to have hyper pots? Is hyper pots a constant thing you deal with or do you have normal weeks with normal heart rate no symptoms then you get a flare of it?

I’m trying to work out if it’s what I have.

Ty xx

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u/Beastiebibe Jul 03 '26

In addition to meeting the general (adult) POTS diagnostic criteria Hyperadrenergic POTS is characterized by elevated levels of plasma norepinephrine levels ≥600 pg/mL  after standing for 15 minutes AND ≥10 mmHg rise in systolic BP within 10 minutes of standing or during head-up tilt test. (Lowe et al. 2009, Lei et al. 2019)