Short answer · Medically reviewed summary · Last updated: 2026-04-06
Postural Orthostatic Tachycardia Syndrome (POTS) is a specific form of dysautonomia characterized by an abnormal heart rate increase upon standing, and it is frequently referred to by several clinical synonyms and related diagnostic labels. Common Synonyms and Abbreviations While Dysautonomia is the umbrella term describing a dysfunction of the autonomic nervous system, POTS is the most widely recognized clinical diagnosis for the specific symptomatic presentation of orthostatic intolerance. You may encounter the following names in medical literature or patient records: Postural Tachycardia Syndrome (a common shorthand) Da Costa’s Syndrome (a historical term from the American Civil War era, also known as "soldier’s heart") Irritable Heart Syndrome (historical) Orthostatic Tachycardia Classification and Official Nomenclature In medical coding, POTS is most commonly classified under the ICD-10 code G90.9 (Disorder of the autonomic nervous system, unspecified) or, more specifically, by the tachycardia symptoms associated with it (e.g., I47.1).
Postural Orthostatic Tachycardia Syndrome (POTS) is a specific form of dysautonomia characterized by an abnormal heart rate increase upon standing, and it is frequently referred to by several clinical synonyms and related diagnostic labels.
While Dysautonomia is the umbrella term describing a dysfunction of the autonomic nervous system, POTS is the most widely recognized clinical diagnosis for the specific symptomatic presentation of orthostatic intolerance. You may encounter the following names in medical literature or patient records:
In medical coding, POTS is most commonly classified under the ICD-10 code G90.9 (Disorder of the autonomic nervous system, unspecified) or, more specifically, by the tachycardia symptoms associated with it (e.g., I47.1). In the OMIM database, various forms of dysautonomia are categorized based on their underlying genetic or acquired etiology. Orphanet recognizes POTS as a distinct clinical entity within the broader spectrum of autonomic system diseases.
The proliferation of names for Dysautonomia / POTS stems from its long history of being misunderstood. In the late 19th and early 20th centuries, doctors often attributed these symptoms to psychological distress or "nervous exhaustion," leading to terms like "neurocirculatory asthenia." As our understanding of the autonomic nervous system has matured, the medical community has moved away from these historical labels toward more descriptive, physiological names like Postural Orthostatic Tachycardia Syndrome. Today, medical professionals prefer the term POTS because it accurately describes the defining clinical feature: an excessive heart rate increase (tachycardia) that occurs specifically upon changing to an upright posture.
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