Five minutes each morning shows how your nervous system recovered overnight, against your own normal.
Helps with every condition here
Answers for POTS, long COVID, ME/CFS and dysautonomia.
Which one sounds like you?
Or start from what you feel.
Pick what sounds like you. Each one opens a short, plain-language guide.
- My heart races when I stand→
- I crash a day or two after doing too much→
- I wake at 3am with my heart pounding→
- I am tired all the time→
- My head feels foggy→
- I feel dizzy or lightheaded→
- I can’t get a full breath→
- My body buzzes or vibrates inside→
- Everything is worse before my period→
- Is it POTS or anxiety?→
- Hot showers make it worse→
- My tests are normal, but I feel sick→
One app for all of them.
Three tools, and the conditions each one helps most. Start free with one morning reading.
How much today can take, in hours and minutes, so you stop before the crash rather than after it.
Helps most with
Insights
PROWhat lines up with your better days: the supplement, the salt, the early night, or nothing at all.
Helps most with
All three sit on one journal for symptoms, meds and triggers, and turn into a summary for your doctor. With POTS, a guided stand test measures what standing does to you.
Take your first reading tomorrow morning.Free on iPhone and Android, with 14 days of Pro. No card, no account.
4.926 App Store ratings
I’ve been through a dozen apps trying to manage my POTS and PEM. I can say without a doubt Autonomic is the BEST one I’ve tried.
Living with something else too?
These often travel with POTS, long COVID and ME/CFS. Log their symptoms in the same journal, and Insights reads them all together. Each opens a guide.
- MCASAllergic-type flares with no clear allergy.→
- hEDS and hypermobilityBendy joints that often come with POTS.→
- FibromyalgiaWidespread pain and fatigue, often with POTS.→
- Sjögren’sDry eyes and mouth that can reach the nerves.→
- Small fiber neuropathyBurning, tingling and odd sweating.→
- Orthostatic hypotensionBlood pressure that drops when you stand.→
- Inappropriate sinus tachycardiaA heart that runs fast even at rest.→
- Vasovagal syncopeFainting, or nearly fainting.→
- MigraineHeadaches that often travel with POTS.→
- GastroparesisSlow digestion, nausea and early fullness.→
- SIBOGut trouble that often comes with dysautonomia.→
- Reactive hypoglycemiaBlood sugar crashes a few hours after eating.→
- Thyroid conditionsA thyroid that can mimic POTS and lower HRV.→
- Sleep apneaBreathing pauses at night that strain the system.→
- Perimenopause and menopauseHormone shifts that bring palpitations and flushes.→
Compare POTS, long COVID, ME/CFS and dysautonomia side by side
| Condition | What defines it | Worth tracking | In Autonomic | Read first |
|---|---|---|---|---|
| POTS | Your heart rate jumps 30 beats or more within ten minutes of standing, and stays up. | Standing heart rate rise, morning HRV, salt and fluids | POTS stand test | How POTS is diagnosed |
| Long COVID | Symptoms that last months after a COVID infection, often with POTS-like heart rate swings or crashes after effort. | Morning HRV, resting heart rate, effort and crashes | Pacing budget | Is it long COVID or POTS? |
| ME/CFS | A crash that lands a day or two after doing too much, called post-exertional malaise. | Daily effort, the two days after, sleep and symptoms | Pacing budget | Post-exertional malaise, explained |
| Dysautonomia | The nervous system that runs heart rate, blood pressure, digestion and temperature stops keeping its balance. | Morning HRV, resting heart rate, blood pressure, sleep | Journal + HRV | The autonomic nervous system, explained |
| Chronic illness | Good days and bad days with no obvious reason, and a long list of things you are trying. | What you take and do, triggers, symptoms, sleep | Insights | Find your triggers with a journal |
Why these conditions so often travel together.
What they share
- Often starts with
- An infection
- Shared thread
- Autonomic dysregulation
- Measured by
- HRV, heart rate, standing
POTS, long COVID, ME/CFS, mast cell activation syndrome (MCAS) and other forms of dysautonomia overlap far more than chance would suggest. Many people meet the criteria for more than one, and many arrived the same way: an infection, often a virus, after which the body’s automatic controls never quite settled back1.
Each has its own defining feature. POTS is a heart rate that races when you stand2,4. ME/CFS centers on post-exertional malaise, the delayed crash after doing too much3. Long COVID can look like either, or both. What they share is a nervous system struggling to keep its balance, which is why the same few signals, HRV, heart rate and what standing does to you, say so much about all of them. Autonomic is built around those signals, and reads each one against your own normal, so it works whether you carry one diagnosis or several.
Autonomic does not diagnose any condition, and it is not a medical device. It is a careful record of how you are, to share with the people treating you.
Sources
Checked November 2026- Long COVID: major findings, mechanisms and recommendations Davis HE, McCorkell L, Vogel JM, Topol EJ. Nature Reviews Microbiology 21(3):133–146, 2023. Dysautonomia and POTS as common features of long COVID.
- Postural orthostatic tachycardia syndrome (POTS): state of the science and clinical care from a 2019 National Institutes of Health Expert Consensus Meeting, Part 1 Vernino S, Bourne KM, Stiles LE, et al. Autonomic Neuroscience 235:102828, 2021. What happens in the body when someone with POTS stands up.
- Beyond Myalgic Encephalomyelitis/Chronic Fatigue Syndrome: Redefining an Illness Institute of Medicine. The National Academies Press, 2015. Post-exertional malaise, and why the crash comes later.
- 2015 Heart Rhythm Society expert consensus statement on the diagnosis and treatment of postural tachycardia syndrome, inappropriate sinus tachycardia, and vasovagal syncope Sheldon RS, Grubb BP, Olshansky B, et al. Heart Rhythm 12(6):e41–e63, 2015. The diagnostic criteria for POTS, including the 30 and 40 bpm thresholds.
4.9App Store
“I’ve been through a dozen apps trying to manage my POTS and PEM. I can say without a doubt Autonomic is the BEST one I’ve tried.”
“It’s already helping me manage my health and gather data to show providers.”
“Only app that isn’t for athlete training and specific to dysautonomia.”
Questions people ask about these conditions
What is the difference between POTS and dysautonomia?+
Dysautonomia is the umbrella term for any problem with the autonomic nervous system, the part that runs heart rate, blood pressure, digestion and temperature without you thinking about it. POTS is one form of it, defined by a heart rate rise of at least 30 beats per minute within ten minutes of standing (40 for ages 12 to 19), without a large drop in blood pressure, with symptoms for at least three months.
Can long COVID cause POTS?+
Yes. POTS and other forms of dysautonomia are among the most commonly reported problems after COVID-19. Many people with long COVID notice a racing heart on standing for the first time after their infection, which is why a stand test is worth doing if that sounds familiar.
Is ME/CFS the same as long COVID?+
No, but they overlap. ME/CFS can follow many different infections and was described long before COVID. Its defining feature is post-exertional malaise, a delayed crash after effort. A substantial share of people with long COVID meet the criteria for ME/CFS, and pacing matters for both.
What kind of doctor treats POTS and dysautonomia?+
Usually a cardiologist or a neurologist, ideally one with an autonomic specialty, and often alongside your primary care doctor. Many long COVID clinics also see dysautonomia. A record of your stand tests and symptoms helps whoever you see.
How is POTS diagnosed?+
With a symptom history and an active stand test or a tilt table test, and by ruling out other causes such as dehydration, anemia, thyroid problems and medications. A home stand test cannot diagnose POTS, but it can show your clinician what standing does to you over weeks.
Do I need a diagnosis to use Autonomic?+
No. Plenty of people start tracking while they wait for answers, and a careful record of your readings and symptoms can make that first appointment far more useful. Autonomic does not diagnose anything; it keeps the record.
I live with more than one of these. Does that matter?+
No, and it is common. Every number in Autonomic is read against your own history rather than a population average, so it works the same whether you carry one diagnosis or four, and Insights looks across everything you log.
Is Autonomic a medical device?+
No. It is a personal tracking tool. It organizes your data and points out patterns, and it never tells you to start, stop or change a treatment. Always work with your clinician.
How much does Autonomic cost?+
The journal is free forever, with no account and no ads, including unlimited HRV readings and your daily score. Autonomic Pro is $7.99 a month or $49.99 a year, and every install starts with 14 days of Pro, with no card.
Start with one reading tomorrow morning.
Free on iPhone and Android, with 14 days of Pro. No card, no account.