text: Long COVID postural tachycardia syndrome an American Autonomic Society statement COVID 19 is a global pandemic that has had a devastating effect on the health and economy of much of human civilization While the acute impacts of COVID 19 were the initial focus of concern it is becoming clear that in the wake of COVID 19 many patients are developing chronic symptoms that have been called Long COVID Some of the symptoms and signs include those of postural tachycardia syndrome POTS Understanding and managing long COVID POTS will require a significant infusion of health care resources and a significant additional research investment In this document from the American Autonomic Society we outline the scope of the problem and the resources and research needed to properly address the impact of Long COVID POTS 