A member asked:

Have post orthostatic tachycardia syndrome. since 18 get chest pain on exercise. see profile for tests. im 22. should i have ct scan?

4 doctors weighed in across 3 answers
Dr. Joshua Liberman answered

Specializes in Internal Medicine - Cardiology

Not necessary: Pots syndrome is not associated with heart disease, or any other structural problem with the heart. The best way to evaluate consistent exertional chest pain is with a routine exercise treadmill stress test. A rare possibility is that you could have a malformation of a coronary artery, where it travels in a strange/different direction. This could potentially be evaluated with an echo.

Answered 3/20/2015

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Dr. Oscar Novick answered

Specializes in Pediatrics

Pots: Pots seems to affect young women and may sometimes occur after mono.Your chest pain may be due to the fluctuations in your blood pressure while exercising. Try drinking fluids and maybe exercise at short intervals like 30 minutes at a time. You might discuss the use of a beta blocker with your doctor . I think a ct scan would be non revealing.

Answered 6/4/2013

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Dr. Victor Bonuel answered

Specializes in Internal Medicine

If all the tests are: Normal, don't be alarmed and stay active and optimistic. Your condition is not fatal. Get up slowly from a sitting or lying position. You may need to increase your salt and water intake. Ask your dr if a steroid pill that elevates blood pressure is appropriate for you. Take care!

Answered 12/9/2013

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