Orthostatic Intolerance in Children With Long COVID Utilizing a 10-Minute Passive Standing Test, 2024, Morrow et al.

SNT Gatchaman

SNT Gatchaman

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Orthostatic Intolerance in Children With Long COVID Utilizing a 10-Minute Passive Standing Test
Amanda K. Morrow; Cindy Villatoro; Christina Kokorelis; Peter C. Rowe; Laura A. Malone

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.

Link | PDF (Clinical Pediatrics)
 
SNT Gatchaman said:
Orthostatic Intolerance in Children With Long COVID Utilizing a 10-Minute Passive Standing Test
Amanda K. Morrow; Cindy Villatoro; Christina Kokorelis; Peter C. Rowe; Laura A. Malone

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.

Link | PDF (Clinical Pediatrics)
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Is this a version of the NASA lean test ?
 
Sounds like it —

A trained nurse performed the PST on each patient in a quiet room. Blood pressure and HR were measured with an automatic BP cuff (Dinamap V100) at 1-minute intervals throughout the duration of the test. Patients were placed in the supine position for minutes 1 through 5; then, they were instructed to stand with their upper back leaning comfortably against a wall for 10 minutes with minimal stimulation, followed by returning to the supine position for an additional 2 minutes. Patients were asked to verbally rate the severity of orthostatic symptoms on a scale of 0 (no symptoms) to 10 (maximum symptom severity) in 1-minute intervals throughout the test, including fatigue, headaches, blurry vision, and dizziness. 16 The PST was discontinued prematurely if requested by the patient or in the event of syncope, which is similar to the tilt table evaluation.
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