Heart Rate Recovery in POTs Patients

[Sam4877]

Hi All,

I read on several different websites where it said that after doing strenuous excercise if the heart rate doesn't fall more than 12bpm after 1 minute it is a predictor of all cause mortality. This really concerns me because after exercise my heart rate doesn't fall very quickly, sometimes around 8-10bpm after 1 minute and then takes hours for it to come back into normal range under 100bpm. Is this a cause of concern or does this not apply to us because we have POTs?

 

References:

https://www.ahajournals.org/doi/full/10.1161/JAHA.117.008341

https://www.nejm.org/doi/full/10.1056/nejm199910283411804#:~:text=Heart-Rate Recovery and Mortality&text=An abnormal value for heart,5.2%3B P<0.001).

[Pistol]

@Sam4877 - I believe that heart rate recovery is different when you have POTS. I know that for me my rate is definitely longer after exercise ( however - I stop and rest if an activity causes my HR to go up, to prevent a flare ). In POTS the  ANS malfunctions - so you probably can't compare your reactions to the norm. Personally I see no concern to worry about a long HRR being a mortality indicator. Don't worry - and be well!!!!

[Sam4877]

20 minutes ago, Pistol said:

@Sam4877 - I believe that heart rate recovery is different when you have POTS. I know that for me my rate is definitely longer after exercise ( however - I stop and rest if an activity causes my HR to go up, to prevent a flare ). In POTS the  ANS malfunctions - so you probably can't compare your reactions to the norm. Personally I see no concern to worry about a long HRR being a mortality indicator. Don't worry - and be well!!!!

Thanks for easing my anxiety @Pistol 

[MTRJ75]

I asked this question last week. I know it's not supposed to be the same for us, but wondered how long before it became a problem. I'm generally around an hour or more too now.