Management of Postural Orthostatic Tachycardia Syndrome in Pregnancy

Pharmacological Management

• The European Heart Association recommends avoiding atenolol due to intrauterine growth retardation risk 2
• The American College of Cardiology suggests propranolol or metoprolol as first-line pharmacological agents for POTS in pregnancy 1

Postpartum Considerations

• The European Heart Journal notes that symptoms may worsen immediately postpartum due to rapid fluid shifts and autotransfusion from uterine involution 2

Multidisciplinary Team Approach

• The European Heart Journal recommends establishing a care plan early in pregnancy with a multidisciplinary team, including maternal-fetal medicine, cardiology, anesthesiology, and autonomic specialists 2

Common Pitfalls to Avoid

• The American College of Cardiology advises against using atenolol for rate control in pregnancy 1, 2