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Understanding POTS: The Illness Draining Kristaps Porziņģis’ Playoff Energy

During the recent NBA playoff season, Kristaps Porziņģis faced significant challenges that impacted his performance. Despite showcasing his skills throughout the regular season, he struggled greatly in the postseason due to a medical condition.

Kristaps Porziņģis and POTS

Porziņģis was diagnosed with postural orthostatic tachycardia syndrome (POTS), a condition that can lead to a drastic increase in heart rate when standing. This condition greatly affected his ability to perform, particularly during critical games when the Boston Celtics were eliminated by the New York Knicks in the second round of the playoffs. After averaging 20 points, seven rebounds, and nearly two blocks per game in the regular season, his energy seemed to vanish.

In an interview with The Athletic, Porziņģis described how POTS “hit me like a truck.” He detailed experiencing difficulties, including breathlessness, which severely limited his athletic capabilities. The symptoms of POTS left him feeling fatigued and unable to participate in the game as he normally would, stating, “At that time, I could just lay on the couch and be a house cat.”

Understanding POTS

POTS affects the body’s ability to regulate heart rate and blood pressure, particularly during position changes. Symptoms can include:

  • Increased heart rate
  • Dizziness
  • Fatigue

When a person with POTS stands up, the body’s normal compensatory mechanisms fail, leading to symptoms that can be debilitating. Porziņģis reported a heart rate spike to 130 beats per minute upon standing, significantly impacting his performance.

Prevalence and Management of POTS

POTS is estimated to affect 1 to 3 million individuals in the U.S., with a majority being women aged 15 to 50. Factors such as severe illness, physical trauma, or autoimmune conditions may increase the likelihood of developing POTS.

While there is no definitive cure for POTS, symptom management is possible through lifestyle changes and treatments. These typically include:

  • Exercise and physical activity
  • Dietary adjustments, including increased salt and water intake
  • Eating smaller, more frequent meals

Interestingly, Porziņģis has taken proactive steps to manage his condition without medication. He has focused on a high-salt diet and a structured resting schedule to improve his symptoms.

Looking Ahead

Despite the challenges posed by POTS, Porziņģis displayed resilience during international competitions, playing effectively with the Latvian national team at Eurobasket. Now, as he prepares for the upcoming NBA season with the Atlanta Hawks, there is optimism surrounding his return to peak performance. The Hawks will kick off their 2025-26 season against the Toronto Raptors on Wednesday night.

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