Cardio-oncology & other

Impact of COVID-19 pandemic on the incidence and prevalence of postural orthostatic tachycardia syndrome

Eur Heart J Qual Care Clin OutcomesPublished interrupted time series analysis

Authors' conclusion

Our findings demonstrate a significant increase in the incidence of POTS following the COVID-19 pandemic, suggesting a potential association between COVID-19 infection and the development of post-viral POTS. Future research should explore the underlying mechanisms and treatment strategies for POTS in the context of post-COVID recovery.

Study context

Population
Patients aged 18 and older across 64 healthcare organizations in the TriNetX databasepatients aged 18 and older across 64 healthcare organizations
Participants
65,141,065 patients
Comparison
Postural orthostatic tachycardia syndrome (POTS) before and after COVID-19, with 1 March 2020 defined as the cutoff date for pre- and post-COVID analysis
Outcome
Incidence rate of POTS

Main finding

As reported in the abstract

pre-COVID

1.42/1000 000

cases per person-year

post-COVID

20.3/1000 000

cases per person-year

P < 0.0001

Further findings

Monthly incidence cases of POTS · significant rise

P < 0.001

Month-to-month prevalence of POTS

Initial decline after COVID with a robust increase starting January 2023

Prevalence of autonomic nervous system disorders and related comorbidities

Significantly decreased in the post-COVID cohort

Original publication

Impact of COVID-19 pandemic on the incidence and prevalence of postural orthostatic tachycardia syndrome. Eur Heart J Qual Care Clin Outcomes. Published 7 January 2025. doi:10.1093/ehjqcco/qcae111

Summarised from the published abstract; every number is checked against it

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