Pregnancy and POTS

[Sonisingh2134]

Hi. I am 20 yrs. old and have been diagnosed with POTS last year. I have had POTS symptoms since i was 15 but i noticed my whole body changing and def. autonomic dysfunction after i miscarried last november, Ever since my miscarriage I have not been the same. I am on 20 mg of midodrine which i take every 4 hrs. and atenenol 10 mg everyday. Somedays i feel great and other days i feel like hopeless.

I am wondering if anyone else out there has recovered from POTS and how long did it take?
Has anyone been pregnant and had a successful pregnancy w/ POTS?
What other treatment r helping with the chronic fatigue?

I am afraid to ever get pregnant because i dont want to go through the same stress my body went through last year with my miscarriage. I lost weight, i couldn't eat, barely stand and walk, my heartrate was always high and i was diagnosed w/ major tachycardia and i had constant panic attacks.

Please bring some light on my questions

Thanks - Soni

[LClemons]

I have had 2 kids and i have pots and i am currently pregnant with my third. the thing about pots is i dnt think it increases miscarriage but the symptoms tend to get worse around 6 months of pregnancy. i was basically bedridden with my first two after i hit 6 months of my pregnancies. I have had pots symptoms since i was 3 yrs old but just got diagnosed last year.

[talaverajt]

i found this for you....

Outcomes of pregnancy in patients with preexisting postural tachycardia syndrome.
Kanjwal K, Karabin B, Kanjwal Y, Grubb BP.

Pacing and Electrophysiology section, Division of Cardiology, Department of Medicine, University of Toledo Medical Center, Toledo, Ohio 43614, USA.

BACKGROUND: Postural orthostatic tachycardia syndrome (POTS) occurs more commonly in women than in men and often affects women of childbearing age. Many of these women wish to have children, yet there are little reported data on the outcomes of pregnancy in patients with POTS. To date there has been one report of two patients with POTS who successfully completed pregnancy. We report the outcomes of 22 women with preexisting POTS who became pregnant. OBJECTIVE: To assess the outcome of pregnancy in patients with preexisting POTS. METHODS AND RESULTS: Twenty-two patients, age 30 +/- 7 years, with POTS became pregnant. Migraine was the common comorbidity found in 40% of patients. Medications used were beta-blockers (18%), midiodrine (31%), selective serotonin reuptake inhibitors (31%), fludrocortisone (13%), combination (40%), and none (18%). During pregnancy, symptoms of POTS remained unchanged in three (13%), improved in 12 (55%), and worsened in seven (31%) patients. One patient who had recurrent episodes of syncope without aura was found to have complete heart block and received a cardiac pacemaker. All patients completed pregnancy successfully. There were no stillbirths. One patient developed hyperemesis. Eighteen patients had vaginal delivery and four patients delivered by cesarian section. No other complications of pregnancy were encountered. Congenital abnormalities were encountered in the form of one atrial septal defect, one ventricular septal defect, and one Down's syndrome. Postpartum symptoms of POTS remained stable in 15 (69%) patients and worsened in seven (31%) patients. CONCLUSION: Based on our observation, patients with POTS can safely complete pregnancy if they desire to do so. POTS should not be considered a contraindication to pregnancy per se.

PMID: 19659618 [PubMed - indexed for MEDLINE]


MeSH TermsMeSH Terms:AdultFemaleHumansPostural Orthostatic Tachycardia Syndrome/diagnosis*PregnancyPregnancy Complications, Cardiovascular/diagnosis*Pregnancy Outcome*
LinkOut - more resourcesFull Text Sources:Blackwell PublishingEBSCOOhioLINK Electronic Journal CenterOvid Technologies, Inc.Swets Information ServicesMedical:High Risk Pregnancy - MedlinePlus Health InformationSupplemental Content
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[Heiferly]

Bumping this up.  I'd been hoping one of the women here who have been through a POTS pregnancy would reply.  Anyone still hanging around the forum who fits that bill?  In the meantime, I'll dig up the references for the few POTS pregnancy medical journal articles we have floating around here.  Sorry this hasn't gotten a reply sooner ... occasionally a message slips through the cracks here and there ... sorry about that!!  Thanks for your patients and I'll get your more information ASAP.