Case Reports of the Athletic Heart
Athletes with COVID-19: A Case Report
Question: What is the next appropriate step for this patient?
Lifestyle management with salt and fluid loading, compression stockings, and graded exercise.
POTS is best treated initially with lifestyle management with salt and fluid loading, compression stockings, and graded exercise. Patients should drink 2-3 L of water per day, consume salt 10-12 g/day, and wear compression stockings. Patients should start a graded, structured, and supervised exercise program. Propranolol at a low-dose can help with sinus tachycardia and palpitations. Fludrocortisone and Midodrine have been used if symptoms persist after lifestyle management.
Authors: Christine P. Shen, MD; Sandeep R. Mehta, MD, Division of Cardiology, Scripps Clinic
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