Postural Tachycardia Syndrome

We report a case diagnosed with Postural Tachycardia Syndrome (PoTS), 8 years after onset of symptoms. The patient, a 47-year old female, presented with recurrent episodes of light-headedness, presyncope, palpitations and tremulousness. There were no abnormalities on clinical examination. On two earlier occasions, the patient was evaluated by cardiologist, neurologist, pulmonologist and the ear nose and throat physician for her symptoms. She underwent several diagnostic tests, which showed no abnormalities. No diagnosis was established and the symptoms spontaneously disappeared twice. On the current occasion of recurrence of symptoms, the diagnosis of PoTS was highly suspected and proved by a positive tilt table test. She was successfully managed accordingly