COVID-19 and Orthostatic Intolerance in Children
Author Information
Author(s): Muacevic Alexander, Adler John R, Kakavand Bahram, Centner Safia, Centner Aliya
Primary Institution: Nemours Children's Health System, Orlando, USA
Hypothesis
This study aims to evaluate the clinical and laboratory findings in pediatric patients with post-COVID-19 or post-COVID-19 vaccine orthostatic intolerance and postural orthostatic tachycardia syndrome.
Conclusion
The study highlights the increasing incidence of POTS and other forms of orthostatic intolerance in children following COVID-19 infection and vaccination.
Supporting Evidence
- 62.5% of patients met the criteria for POTS.
- Mean standing norepinephrine levels were 520 pg/mL.
- 43.75% of patients showed abnormal results on the Valsalva maneuver.
- 50% of those who underwent QSART demonstrated small fiber neuropathy.
Takeaway
Some kids can feel dizzy and have fast heart rates after getting COVID-19 or the vaccine, and this study looked at how common that is.
Methodology
This was a retrospective chart review of pediatric patients under 18 years with chronic dizziness or syncope following COVID-19 infection or vaccination, including autonomic studies.
Limitations
The study has a small sample size and lacks long-term outcome data.
Participant Demographics
16 patients (15 female, 1 male) with a mean age of 15 ± 3 years.
Digital Object Identifier (DOI)
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