Orthostatic Intolerance in Children With Long COVID Utilizing a 10-Minute Passive Standing Test

Amanda Morrow, Cindy Villatoro, Christina Kokorelis, Peter Rowe, Laura Malone

Research output: Contribution to journalArticlepeer-review

Abstract

Despite there being a wide variety of symptoms reported in pediatric long COVID, one condition that has become increasingly recognized is orthostatic intolerance (OI), which can cause significant morbidity, limiting activities of daily living. This study examines rates of OI in 92 children with long COVID who underwent a bedside passive standing test in a pediatric post-COVID-19 rehabilitation clinic. Seventy-one percent met criteria for an orthostatic condition, including postural orthostatic tachycardia syndrome (POTS), orthostatic tachycardia (OT), classic orthostatic hypotension (OH), delayed OH, and orthostatic hypertension. Our findings suggest that OI is common in pediatric long COVID, necessitating appropriate clinical screening and treatment.

Original languageEnglish (US)
JournalClinical pediatrics
DOIs
StateAccepted/In press - 2024

Keywords

  • autonomic dysfunction
  • dysautonomia
  • long COVID
  • orthostatic hypertension
  • orthostatic hypotension
  • orthostatic tachycardia
  • post-acute sequelae of COVID-19 (PASC)
  • post-COVID condition
  • post-COVID-19
  • postural orthostatic tachycardia syndrome

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health

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