POTS - The 4 pillars of management POTS stands for Postural Orthostatic Tachycardia Syndrome. This means that patients with this condition find that they feel unwell with symptoms of tremulousness, dizziness and heart palpitations when they stand up. On objective assessment,there is an exaggerated and sustained increase in heart rate (> 30 beats/ per minute in adults; >40 beats per minute in children) compared to when the patient is lying down. Healthcare professionals around the world have ther