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This is the first case report of well-managed postural orthostatic tachycardia syndrome (POTS) intraoperatively monitored by heart rate variability (HRV) analysis in dentistry. POTS-associated autonomic dysfunction is induced by postural changes and easily leads to disturbances in circulatory dynamics; however, most dental practices have not yet realized the importance of managing POTS. We measured autonomic activity in a patient with POTS during dental therapy and assessed the clinicaldoi:10.6084/m9.figshare.1421905.v1 fatcat:z5xaqsjc3jacjlf3yq45bwqivm