Why Katie Ledecky Initially Kept Her POTS Diagnosis Private

Why Katie Ledecky Initially Kept Her POTS Diagnosis Private

As a dedicated follower of Katie Ledecky‘s incredible career, I find her journey to be nothing short of inspiring. Her relentless pursuit of excellence and her ability to conquer uncharted waters, whether they are the Olympic pool or the challenges of her own health, is truly awe-inspiring.


Katie Ledecky is accustomed to venturing into new territories, much like her historic feat at the 2024 Paris Olympics where she broke records by becoming the most decorated U.S. female Olympian of all time and the first woman to win four Olympic golds consecutively in the same event (the 800m freestyle across the past four Games).

However, a few years ago, Ledecky embarked on a personal exploration into an unfamiliar territory: managing a health predicament. This journey commenced in 2015 at the World Aquatics Championships held in Kazan, Russia. In this event, Ledecky clinched five gold medals and established three world records, yet the victories were not entirely cause for jubilation. As the athlete narrated in her memoir Just Add Water: My Swimming Life, she started experiencing symptoms of being excessively hot and dizzy during a team dinner after her final race. Initially attributing these symptoms to exhaustion from her competitions, she didn’t let it concern her too much.

After heading back to the United States to continue her preparations for the 2016 Olympics in Rio de Janeiro, Ledecky once more sensed that things weren’t quite right.

In a peculiar manner, the 27-year-old penned down his experience. He mentioned that he could swim fine, yet his performance was extremely erratic. There were periods when he had excellent practices, followed by days or even two where he felt completely drained of energy. Some days, he couldn’t navigate without feeling lightheaded. I recall finishing practice and finding it tough to make my way to the locker room. Every swimmer experiences ups and downs during training, but to feel so exhausted? My determination to work hard was still present, but I lacked the necessary energy. The question that kept lingering in my mind was, “Am I unwell? And if so, what disease?”

Why Katie Ledecky Initially Kept Her POTS Diagnosis Private

Ledecky credited her then-coach, Bruce Gemmell, for advising her to seek the expertise of a specialist at Johns Hopkins University in Maryland. Ultimately, she was diagnosed with Postural Orthostatic Tachycardia Syndrome (POTS), a condition where individuals may experience rapid heart rate, dizziness, fatigue, and other symptoms upon transitioning from sitting or lying down to standing, as explained by NewYork-Presbyterian’s Health Matters.

In her book, Ledecky discusses that due to a condition called POTS, she accumulates blood in the veins below her heart when standing. This triggers her body to release excess norepinephrine or epinephrine, which puts additional strain on her heart, causing it to beat faster. Consequently, this rapid heartbeat leads to feelings of dizziness, fainting, and extreme fatigue.

Due to her health issue, the 14-time Olympic medalist adjusted her eating habits. She explained that she needed to boost her sodium intake and stay well-hydrated. Research also suggests that reclined aerobic exercises like swimming and core strengthening can alleviate symptoms. Interestingly enough, the recommended exercise for her specific condition happened to be swimming.

“Having successfully managed my POTS condition these days, I’m ready to share my journey. It’s been a personal battle, one that I’ve never felt the need to conceal, but it wasn’t something I necessarily felt compelled to discuss publicly. Managing it has been about maintaining the right balance in my diet, particularly with salt intake, and wearing compression gear. When I fall ill or find myself in hot environments, I have to be extra vigilant about my salt and hydration levels.

Why Katie Ledecky Initially Kept Her POTS Diagnosis Private

In her health, sports, and daily activities, her family and coaches have always been her greatest cheerleaders. As she recounts in her memoir, she was fortunate to be guided by a succession of dedicated and insightful coaches who encouraged her without making swimming the only reason for her existence. Her loved ones provided the same support, never pushing her to excel under pressure from anyone else except herself. Among all the unexpected events that can lead to greatness, this supportive network is what she values most deeply.

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2024-08-06 20:19