
Q My palpitations and dizziness are severe — in what cases should I urgently get a cardiology evaluation?
A If you experience fainting (loss of consciousness), chest pain, severe persistent arrhythmia or irregular pulse even at rest, or shortness of breath, you should get a cardiology evaluation without delay. These may signal something beyond simple POTS, such as arrhythmia or heart disease.
Detailed Answer
Most POTS symptoms improve with management, but certain signs always require thorough evaluation. If you experience actual loss of consciousness (fainting), chest pain, severe palpitations or an irregular pulse that persists even while lying down, or severe shortness of breath, you should promptly get a cardiology evaluation to rule out arrhythmia or heart disease. Even the diagnosis of POTS itself should only be made after such dangerous causes have been ruled out, for safety.
Our Korean Medicine Clinic's Perspective
At Dongjedang, we also check for these warning signs at the first visit. If fainting, chest pain, or severe arrhythmia is suspected, we recommend a cardiology evaluation first, and proceed with Korean Medicine treatment to restore circulatory balance only once dangerous causes have been ruled out and it is confirmed to be functional POTS. Safety confirmation always comes first.
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