Evidence map›Paper›PMID 41275041›Full record

ArticleJournal of neurology2025

Postural orthostatic tachycardia syndrome is the most frequent cardiovascular autonomic disorder following COVID-19 infection or vaccination.

Fabian Leys, Mara Verginer, Elias Kirchler, Loraine Marino, Georg Goebel, Nicole Campese, Sabine Eschlböck, Susanne Duerr, Gregor Broessner, Atbin Djamshidian-Tehrani and 16 more

Abstract read
In one paragraph

Article in Journal of neurology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. What's in a name? reframing advanced Parkinson's disease as a multidimensional state.Journal of neural transmission (Vienna, Austria : 1996) · 2026
    Review
  2. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

26 authors.

Fabian LeysDepartment of Neurology, Medical University of Innsbruck, Innsbruck, Austria.
Mara VerginerDepartment of Neurology, Medical University of Innsbruck, Innsbruck, Austria.
Elias KirchlerDepartment of Neurology, Medical University of Innsbruck, Innsbruck, Austria.
Loraine MarinoDepartment of Neurology, Medical University of Innsbruck, Innsbruck, Austria.
Georg GoebelInstitute of Medical Statistics and Informatics, Medical University of Innsbruck, Innsbruck, Austria.
Nicole CampeseDepartment of Neurology, Medical University of Innsbruck, Innsbruck, Austria.
Sabine EschlböckDepartment of Neurology, Medical University of Innsbruck, Innsbruck, Austria.
Susanne DuerrDepartment of Neurology, Medical University of Innsbruck, Innsbruck, Austria.
Gregor BroessnerDepartment of Neurology, Medical University of Innsbruck, Innsbruck, Austria.
Atbin Djamshidian-TehraniDepartment of Neurology, Medical University of Innsbruck, Innsbruck, Austria.
Anna HeidbrederDepartment of Neurology, Medical University of Innsbruck, Innsbruck, Austria.
Birgit HöglDepartment of Neurology, Medical University of Innsbruck, Innsbruck, Austria.
Maria-Sophie Rothmund-GrenierDepartment of Psychiatry, Psychotherapy, Psychosomatics and Medical Psychology, University Hospital of Psychiatry II, Medical University of Innsbruck, Innsbruck, Austria.
Katharina HüfnerDepartment of Psychiatry, Psychotherapy, Psychosomatics and Medical Psychology, University Hospital of Psychiatry II, Medical University of Innsbruck, Innsbruck, Austria.
Sarah IglsederDepartment of Neurology, Medical University of Innsbruck, Innsbruck, Austria.
Wolfgang LöscherDepartment of Neurology, Medical University of Innsbruck, Innsbruck, Austria.
Ambra StefaniDepartment of Neurology, Medical University of Innsbruck, Innsbruck, Austria.
Julia WanschitzDepartment of Neurology, Medical University of Innsbruck, Innsbruck, Austria.
Günter WeissDepartment of Internal Medicine II, Medical University of Innsbruck, Innsbruck, Austria.
Laura ZamarianDepartment of Neurology, Medical University of Innsbruck, Innsbruck, Austria.
Judith Löffler-RaggDepartment of Internal Medicine II, Medical University of Innsbruck, Innsbruck, Austria.
Raimund HelbokDepartment of Neurology, Medical University of Innsbruck, Innsbruck, Austria.
Stefan KiechlDepartment of Neurology, Medical University of Innsbruck, Innsbruck, Austria.
Roberta GranataDepartment of Neurology, Medical University of Innsbruck, Innsbruck, Austria.
Gregor K WenningDepartment of Neurology, Medical University of Innsbruck, Innsbruck, Austria.
Alessandra FanciulliDepartment of Neurology, Medical University of Innsbruck, Innsbruck, Austria. alessandra.fanciulli@i-med.ac.at.ORCID http://orcid.org/0000-0002-2854-4179

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundCardiovascular autonomic disorders (CAD) were described following COVID-19 infection and vaccination, but previous reports were limited in size and follow-up. Here, we aimed to investigate the type and frequency of newly diagnosed and exacerbated CAD following COVID-19 infection or vaccination, and assessed their associated autonomic and non-autonomic complaints, applied treatment, and clinical outcome at last follow-up.

methodsMedical records of individuals referred to the Innsbruck Dysautonomia Center between March 2020 and March 2023 were reviewed for new onset of orthostatic intolerance, recurrent syncope, OR exacerbation of previously diagnosed CAD within 6 weeks from a passed COVID-19 infection or vaccination.

resultsFollowing COVID-19 infection (n = 75), 22 (29%) individuals were diagnosed with postural orthostatic tachycardia syndrome (POTS), 12 (16%) with vasovagal syncope (VVS), 1 with delayed and 1 with transient orthostatic hypotension (OH). Following COVID-19 vaccination (n = 26), 11 (42%) POTS, 2 (8%) VVS, and 3 (12%) transient OH cases were newly diagnosed. In half of newly referred individuals (n = 49/101, 49%), the diagnostic workup excluded any CAD. VVS was the most frequently exacerbated CAD (n = 8/19, 42%). Non-pharmacological measures were recommended to all newly diagnosed CAD, with one-third additionally receiving pharmacotherapy. Follow-up was available in 42 (81%) individuals with newly diagnosed CAD, with a symptomatic improvement observed in 26 (62%) cases.

conclusionA specialized diagnostic workup is pivotal to diagnose or exclude CAD in individuals with new-onset orthostatic intolerance or recurrent syncope following COVID-19 infection or vaccination. A multimodal treatment approach can achieve a symptomatic improvement in a substantial proportion of affected individuals.

Indexed as

Autonomic Nervous System DiseasesCOVID-19COVID-19 VaccinesPostural Orthostatic Tachycardia SyndromeSyncope, VasovagalVaccinationAdultAgedFemaleHumansMaleMiddle AgedRetrospective StudiesCOVID-19 VaccinesCardiovascular autonomic disordersCOVID-19InfectionPOTSSARS-CoV-2Vaccination

Identifiers

PMID41275041
PMCPMC12640326

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.