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Hi, I'm a 28 year old female with no current medical conditions. I was born with Wolff Parkinson White Syndrome, but I had a successful ablation done at 14, and I have had no recurrance of WPW. For about a year now, EVERY time I wake up, whether it be in the middle of the night, or in the morning, once I stand on my feet, my heart beat goes up to 120-140. The beats are fast but not hard (as in if I don't take my pulse I wont feel them). This is NOT accompanied by shortness of breath, dizziness, or pain. But, it IS accompanied with extreme fatigue. Often I don't find the strength to walk, and I have to sit back down on my bed. My heart beat will drop down to 70-60 immediately upon sitting down. This sudden drop brings even more fatigue. I have seen 3 Cardiologists. I have done ALL tests (holter monitor, event monitor, echo, exercise test, ECG) THREE times! I have also done several blood works and urine culture tests done. No abnormalities have been found. But my condition still exists and it's very disabling :( I cannot get out of bed to use the washroom in the middle of the night. Many mornings I have to call in sick due to fatigue. Any words would be appreciated.

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It sounds like postural orthostatic tachycardia syndrome (POTS). An increase of pulse of 30bpm or more from lying down to standing is a sign of this syndrome. Officially it is diagnosed by a tilt table test. I have a similar situation where my HR at rest is 60 and standing up it shoots up to 110-130. If it gets high enough to make me feel nauseous like I'm going to faint I will be incapacitated with fatigue for the rest of the day. This post was written several months ago so i hope youve found some answers!
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Hi Kat,

This is exactly what I have been experiencing. Although accompanied by head rush. Did you ever get any answers?
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