For many patients, finding a knowledgeable and supportive medical team is essential—but access to specialized care can vary widely across regions. This guide explores the top POTS clinics and specialists in Europe, helping patients and caregivers locate expert care tailored to the challenges of autonomic dysfunction.
Why Specialized POTS Clinics Matter
POTS is often misunderstood or misdiagnosed, especially in general practice settings. Because symptoms overlap with other chronic conditions—such as Ehlers-Danlos Syndrome (EDS), Mast Cell Activation Syndrome (MCAS), and chronic fatigue syndrome (ME/CFS)—patients benefit most from clinics that offer multidisciplinary care and autonomic testing.
Specialized POTS clinics in Europe provide:
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- Comprehensive autonomic evaluations
- Tailored treatment plans
- Access to cardiology, neurology, and physiotherapy
- Support for coexisting conditions
- Education and long-term management strategies
Note on Clinic Availability
The landscape of POTS care is constantly evolving. Clinics may change locations, restructure services, or close entirely, while new specialists and programs continue to emerge. While we strive to keep this list current, it may not reflect the most recent updates. We encourage readers to verify details directly with each clinic and consult trusted directories like Dysautonomia International or Standing Up to POTS for the latest information.
Leading POTS Clinics and Specialists in Europe
The National Hospital for Neurology and Neurosurgery – London, UK
Located at Queen Square, this hospital is home to one of the UK’s most respected neurology departments. Their autonomic unit offers tilt table testing, heart rate variability analysis, and expert consultations for dysautonomia, including POTS. Patients often receive coordinated care across neurology, cardiology, and pain management.
Charité – Universitätsmedizin Berlin – Germany
Charité is one of Europe’s largest university hospitals and a leader in autonomic research. Their neurology department includes specialists in dysautonomia and offers advanced diagnostic tools. The clinic is known for its integrative approach, combining medical treatment with rehabilitation and psychological support.
Amsterdam UMC – Netherlands
Amsterdam University Medical Centers provide care for complex autonomic disorders, including POTS. Their cardiology and internal medicine departments collaborate to offer personalized treatment plans. The Netherlands also has a growing network of POTS-aware physiotherapists and rehabilitation specialists.
University Hospital Zurich – Switzerland
This clinic offers autonomic testing and treatment for POTS and related conditions. Their interdisciplinary team includes neurologists, cardiologists, and immunologists. Switzerland’s emphasis on precision medicine makes it a strong choice for patients seeking detailed diagnostics and tailored care.
Hospital Clínic de Barcelona – Spain
Known for its research and innovation, this hospital provides care for autonomic dysfunction through its neurology and internal medicine departments. Spain’s healthcare system supports coordinated care, and this clinic is a hub for patients with complex multisystem conditions.
Oslo University Hospital – Norway
Oslo’s Rikshospitalet includes a specialized autonomic unit that treats POTS and other forms of dysautonomia. Their team focuses on both pharmacological and non-pharmacological interventions, including physical therapy and lifestyle coaching.
How to Choose the Right POTS Clinic in Europe
Finding the right clinic depends on your location, symptoms, and care preferences. Here are key factors to consider:
Multidisciplinary Access
The best clinics offer coordinated care across specialties—neurology, cardiology, gastroenterology, and physiotherapy.
Autonomic Testing Capabilities
Look for clinics that provide tilt table testing, QSART, and heart rate variability analysis to confirm diagnosis and guide treatment.
Language and Accessibility
Consider whether the clinic offers services in your preferred language and supports international patients.
Wait Times and Referral Requirements
Some clinics require referrals or have long waitlists. Contact them directly to understand their intake process.
Patient Reviews and Community Feedback
Online forums and support groups can offer insight into real-world experiences with specific clinics and specialists.
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What Is Heart Rate Variability? Heart Rate Variability Testing for POTS is an increasingly valuable tool in the diagnostic process for individuals experiencing symptoms related to postural orthostatic tachycardia syndrome....
Frequently Asked Questions
What is POTS and how is it diagnosed?
POTS is a form of dysautonomia diagnosed through tilt table testing and symptom history.
Are POTS clinics available across Europe?
Yes, but availability varies by country; larger cities and university hospitals tend to offer more specialized care.
Do I need a referral to visit a POTS clinic?
Many clinics require a referral from a general practitioner or specialist.
Can I access POTS care through public healthcare systems?
In most European countries, yes—though private options may offer faster access.
Are there pediatric POTS clinics in Europe?
Some hospitals, like Great Ormond Street in London, offer pediatric autonomic care.
What treatments are available for POTS in Europe?
Treatment may include medications, IV therapy, physical rehabilitation, and lifestyle adjustments.
Is telehealth available for POTS care in Europe?
Some clinics offer virtual consultations, especially for follow-up and international patients.
Can I get autonomic testing outside of a hospital?
In most cases, specialized testing is done in hospital-based autonomic units.
Are European clinics familiar with EDS and MCAS?
Many top clinics treat coexisting conditions like EDS and MCAS alongside POTS.
How do I find a POTS specialist near me in Europe?
Use national health directories, patient advocacy groups, or ask your GP for referrals.
Final Thoughts
Navigating life with POTS can be overwhelming, but finding the right clinic can make a world of difference. Europe is home to a growing number of specialized centers that understand the complexity of autonomic dysfunction and offer compassionate, evidence-based care. Whether you’re newly diagnosed or seeking better symptom management, these clinics provide the expertise and support needed to move forward with confidence.
If you’re searching for a POTS clinic in Europe, start with the hospitals and specialists listed here—but always verify current availability, referral requirements, and language support. Your journey to better care begins with informed choices and a team that truly understands.
