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Maya Rivera, 34 ·412 records ·3 health systems · Records up to date
Here is what changed in your records since the last update, and what it means in context of your history.
Tilt Table Test (Cardiology)
Performed Oct 21, 2026 at Lakeside Heart Center. Resulted Oct 22, 2026.
- Heart rate lying down: 72 bpm (Oct 21, 2026)[r1]
- Heart rate after 10 minutes upright: 110 bpm, a rise of 38 bpm[r1]. A sustained rise of 30 bpm or more within 10 minutes of being upright, without a drop in blood pressure, is the main criterion used for POTS[1].
- Blood pressure: remained stable throughout[r1]
In context of your history
Sources
Cardiology report
Heart rate: supine 72 bpm; upright at 10 minutes 110 bpm. Blood pressure remained stable.
Primary care visit note
Reports dizziness when upright. Problem list: hypermobile Ehlers-Danlos syndrome. Referred to cardiology.
Diagnosis and management of postural orthostatic tachycardia syndrome
The main characteristic of postural orthostatic tachycardia syndrome (POTS) is tachycardia when standing, without a drop in blood pressure.View publication (opens in a new tab)
Diagnosis and management of postural orthostatic tachycardia syndrome
Common comorbid conditions seen with POTS include hypermobile Ehlers–Danlos syndrome, mast cell activation syndrome, migraine and ME/CFS.View publication (opens in a new tab)
Fictional patient data. An example of the experience, not medical advice.
Next: What's knownhEDS and POTS commonly occur together, although estimates vary widely depending on who was studied and how each condition was diagnosed. Having hEDS generally means adapting POTS care to your joints, pain and other symptoms, not using an entirely different treatment.[1][2]
How common is the overlap?
- Among people with POTS: One study assessed 91 people with POTS and found that 31% met the criteria for hEDS. Another 24% had unusually flexible joints but did not meet the full hEDS criteria.[3]
- Among people with hEDS: A study of 270 people with hEDS undergoing testing of their body’s automatic functions found POTS in 33%. Other selected groups have reported higher rates.[4][5]
A question for your care team
How can my POTS plan support my circulation without aggravating my joints or other hEDS symptoms?
Sources
Problem list
Hypermobile Ehlers-Danlos syndrome (hEDS). Status: active.
Cardiology report
Heart rate: supine 72 bpm; upright at 10 minutes 110 bpm. Blood pressure remained stable.
The co-existence of Ehlers-Danlos syndrome and postural orthostatic tachycardia syndrome: A systematic review of the literature
We conclude that EDS and POTS frequently co-occur, and proportions of patients with POTS and EDS depends on the population evaluated.View publication (opens in a new tab)
AGA Clinical Practice Update on GI Manifestations and Autonomic or Immune Dysfunction in Hypermobile Ehlers-Danlos Syndrome: Expert Review
Treatment of POTS may include increasing fluid and salt intake, exercise training, and use of compression garments.View publication (opens in a new tab)
Prevalence of hypermobile Ehlers-Danlos syndrome in postural orthostatic tachycardia syndrome
Overall, 28 out of 91 POTS participants (31%) met clinical criteria for hEDS.View publication (opens in a new tab)
Hypermobile Ehlers-Danlos Syndrome: Cerebrovascular, Autonomic and Neuropathic Features
The head-up tilt test revealed postural tachycardia syndrome (prevalence 33%), hypocapnic cerebral hypoperfusion (22%), orthostatic cerebral hypoperfusion syndrome (18%), and neurogenic orthostatic hypotension (9%).View publication (opens in a new tab)
The prevalence of cardiac symptoms in Ehlers-Danlos syndrome and hypermobility spectrum disorder: a pilot study
POTS (48% vs 23.5%, P = .016) was significantly more prevalent in the hEDS group; palpitations, presyncope, and syncope were common in both groups.View publication (opens in a new tab)
Fictional patient data. An example of the experience, not medical advice.
Next: What's possibleHere is how to prepare for this visit, based on your records: what it is likely about, what to raise, and what to bring.
Appointment briefing: Cardiology follow-up
Date: October 29, 2026
Location: Lakeside Heart Center
With: Dr. Reyes
This visit is to review your Oct 21 tilt table result[r1].
What this visit is about
- Your tilt table result: your heart rate rose from 72 to 110 bpm when upright, and your blood pressure stayed stable[r1].
- Next steps in your POTS evaluation, given the hEDS on your problem list[r2].
Changes since your last visit
- Dizziness when upright has been in your notes since August[r2].
- Propranolol 10 mg was started at your August primary care visit[r3].
Questions to ask your clinician
- With a 38 bpm rise when upright, stable blood pressure, and my recorded dizziness, can you confirm POTS, or do we need to rule out other causes first?[1]
- Does propranolol still fit, or should the dose change?
- If this is POTS, what kind of exercise is safe for me to start?
- Should I coordinate any changes with my orthopedic team before my November 6 visit?
What to bring
- A symptom log: when the dizziness happens and what you were doing.
- Your current medication list.
- The Oct 21 tilt table report.
Sources
Cardiology report
Heart rate: supine 72 bpm; upright at 10 minutes 110 bpm. Blood pressure remained stable.
Primary care visit note
Reports dizziness when upright. Problem list: hypermobile Ehlers-Danlos syndrome. Referred to cardiology.
Diagnosis and management of postural orthostatic tachycardia syndrome
The main characteristic of postural orthostatic tachycardia syndrome (POTS) is tachycardia when standing, without a drop in blood pressure.View publication (opens in a new tab)
Medication list
Propranolol 10 mg tablet. Start date: Aug 14, 2026.
Fictional patient data. An example of the experience, not medical advice.
Next: Ask anythingIs my tilt table result enough to start treatment?
What your tilt table result shows
Your Oct 21 tilt table test recorded a heart rate of 72 bpm lying down and 110 bpm after 10 minutes upright, with stable blood pressure[r1]. Your August primary care note also describes dizziness when upright[r2]. A sustained rise of 30 bpm or more within 10 minutes of being upright, without a drop in blood pressure, is the main criterion used for POTS[1]. Your 38 bpm rise is above that threshold.
A number alone does not settle it. Other conditions can look like POTS, so clinicians rule those out first[2]. hEDS is on your problem list[r2], and in one study 31% of people with POTS also met the criteria for hEDS[3]. Whether to start treatment is a decision for you and your cardiologist, and your Oct 29 visit is the place to raise it[r3].
- What else could cause a heart rate rise like mine?
- How is POTS usually treated first?
- Draft questions for Dr. Reyes
How is POTS usually treated first?
Treatment usually starts with everyday measures, not medication. Once a diagnosis is made, the first step is learning the non-drug approaches that ease symptoms[4]. Exercise training can be very effective, and medicines are considered when symptoms are harder to manage[4]. Your cardiologist can tell you which of these fit your history.
Sources
Cardiology report
Heart rate: supine 72 bpm; upright at 10 minutes 110 bpm. Blood pressure remained stable.
Primary care visit note
Reports dizziness when upright. Problem list: hypermobile Ehlers-Danlos syndrome. Referred to cardiology.
Diagnosis and management of postural orthostatic tachycardia syndrome
The main characteristic of postural orthostatic tachycardia syndrome (POTS) is tachycardia when standing, without a drop in blood pressure.View publication (opens in a new tab)
Postural Orthostatic Tachycardia Syndrome: JACC Focus Seminar
There are multiple contributing factors and numerous potential mimics.View publication (opens in a new tab)
Prevalence of hypermobile Ehlers-Danlos syndrome in postural orthostatic tachycardia syndrome
Overall, 28 out of 91 POTS participants (31%) met clinical criteria for hEDS.View publication (opens in a new tab)
Appointment
Cardiology follow-up. Oct 29, 2026.
Postural orthostatic tachycardia syndrome: clinical presentation, aetiology and management
After the diagnosis has been established, patient should be thoroughly educated about non-pharmacological measures alleviating the symptoms.View publication (opens in a new tab)
Fictional patient data. An example of the experience, not medical advice.
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