I have a preliminary diagnosis of POTS and I am scheduled for a tilt table soon. I was in the ER recently for palpitations - had an echo, ecg, telemetry monitor, chest X ray - all was perfect except the orthostatic issue and sinus tachycardia which got better with ativan and metoprolol (I was there 24 hours)..
My monitor results say normal sinus rhythm, no AF, no pauses, and also 'no correlations between patient symptoms and the arrhythmic findings'. It is however saying 'frequent' pvcs, pacs and even atrial couplets. I pressed the button almost 100 times over the week. My heart is structurally normal, but I am feeling very concerned again. I don't know what to make of these findings.
The doctor now is giving me calcium channel blockers and says I may need an ablation. Doesn't an ablation make POTS worse (the doctor i saw today seemed ignorant about POTS)?
Thanks