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Updated: Jul 8, 2025
Quantitative Autonomic Testing
Published on: July 19, 2011
Dysautonomia in 'long COVID': Case report
Arijita Banerjee1, Sumit Kumar2
1Department of Physiology, Dr BC Roy Multi-Speciality Medical Research Centre, IIT Kharagpur, West Bengal, India.
COVID-19 can lead to autonomic dysfunction, commonly presenting as postural orthostatic tachycardia syndrome (POTS) after infection. Early diagnosis and conservative management are key for these post-COVID-19 sequelae.
Area of Science:
- Neurology
- Infectious Diseases
- Cardiology
Background:
- Autonomic dysfunction following COVID-19 infection is increasingly recognized.
- Postural orthostatic tachycardia syndrome (POTS) is a common manifestation of post-COVID-19 dysautonomia.
- The precise mechanisms underlying COVID-19-related autonomic dysfunction require further elucidation.
Observation:
- A case of autonomic dysregulation is presented as a sequela of COVID-19.
- Diagnosis of dysautonomia was confirmed via active stand test and autonomic function tests after a six-month investigation period.
- Cardiac parasympathetic function was evaluated by assessing heart rate response to standing using continuous ECG.
Findings:
- The patient exhibited symptoms consistent with autonomic dysregulation post-COVID-19.
- Diagnostic tests confirmed dysautonomia, highlighting the impact on autonomic nervous system function.
- Conservative management strategies are typically employed for such cases.
Implications:
- Family physicians need to be vigilant for post-COVID-19 autonomic dysfunction.
- Early identification and appropriate management can improve patient outcomes.
- Awareness of dysautonomia as a potential COVID-19 sequela is crucial for clinical practice.
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