Pat Torok

I have hyperPOTS and for 7 yrs was always tachycardia. However, since Dec ( I wear an Apple Watch which is very accurate compared with BP Home kit which also shows pulse. ) Since Dec, my heart rate dips to 40 to 50s once going as low as 31. But not sustained. It may register that low for a very short time, go to normal (70-90s) and spiked to 203 ( from surges I understand but don’t understand the very low HR. my BP was also 181/98 which is not my normal range TG! I need to say it may be coincidence but 5 days before I got 2 cortisone shots in my neck. Insomnia started that same night, and my vitals were at both ends from very high to very low. (not BP only HR) This lasted about 5 days then stablized I somewhat Ive had Catecholamine tests and certain hormones were 2xH and 1x H values for normal range Q: Has anyone experienced very low HR in addition and has anyone noticed worsening symptoms after cortisone injections?