Post-Concussive Orthostatic Tachycardia is Distinct from Postural Orthostatic Tachycardia Syndrome (POTS) in Children and Adolescents
Background: Orthostatic tachycardia (OT) affects some patients after concussion/mild traumatic brain injury (mTBI). In this study, we sought to identify the factors associated with increased risk for OT in patients with mTBI. Methods: We conducted a retrospective review of 268 patients (8-25 years)...
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| Veröffentlicht in: | Child neurology open 2022-01, Vol.9, p.2329048X221082753-2329048X221082753 |
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| container_title | Child neurology open |
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| creator | Pearson, Rachel Sheridan, Christopher A. Kang, Kaylee Brown, Anne Baham, Michael Asarnow, Robert Giza, Christopher C. Choe, Meeryo C. |
| description | Background: Orthostatic tachycardia (OT) affects some patients after concussion/mild traumatic brain injury (mTBI). In this study, we sought to identify the factors associated with increased risk for OT in patients with mTBI. Methods: We conducted a retrospective review of 268 patients (8-25 years) with mTBI/concussion to determine the prevalence of OT, defined as orthostatic heart rate change ≥40 bpm for those ≤19 years of age and ≥30 bpm on active standing test for those >19 years of age. Results: Among the study population, 7% (n = 19) exhibited post-concussive OT. The only significant difference between OT and non-OT groups was that history of prior concussion was more prevalent in the OT group. Conclusion: A substantial subset (7%) of concussion clinic patients exhibit OT. While POTS literature describes female and adolescent predominance, post-concussive OT had similar prevalence across age and gender groups in this study, suggesting that it may be distinct from POTS. |
| doi_str_mv | 10.1177/2329048X221082753 |
| format | Article |
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In this study, we sought to identify the factors associated with increased risk for OT in patients with mTBI. Methods: We conducted a retrospective review of 268 patients (8-25 years) with mTBI/concussion to determine the prevalence of OT, defined as orthostatic heart rate change ≥40 bpm for those ≤19 years of age and ≥30 bpm on active standing test for those >19 years of age. Results: Among the study population, 7% (n = 19) exhibited post-concussive OT. The only significant difference between OT and non-OT groups was that history of prior concussion was more prevalent in the OT group. Conclusion: A substantial subset (7%) of concussion clinic patients exhibit OT. While POTS literature describes female and adolescent predominance, post-concussive OT had similar prevalence across age and gender groups in this study, suggesting that it may be distinct from POTS.</description><identifier>ISSN: 2329-048X</identifier><identifier>EISSN: 2329-048X</identifier><identifier>DOI: 10.1177/2329048X221082753</identifier><identifier>PMID: 35647216</identifier><language>eng</language><publisher>Los Angeles, CA: SAGE Publications</publisher><subject>Age ; Concussion ; Heart rate ; Original ; Population studies ; Tachycardia ; Traumatic brain injury</subject><ispartof>Child neurology open, 2022-01, Vol.9, p.2329048X221082753-2329048X221082753</ispartof><rights>The Author(s) 2022</rights><rights>The Author(s) 2022.</rights><rights>The Author(s) 2022. This work is licensed under the Creative Commons Attribution – Non-Commercial License https://creativecommons.org/licenses/by-nc/4.0/ (the “License”). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><rights>The Author(s) 2022 2022 SAGE Publications</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c3113-42ea490a5fa9cb1717dbfc96279d56f265d4fd5cb63b4d265b26b87e2ad6a4d3</citedby><cites>FETCH-LOGICAL-c3113-42ea490a5fa9cb1717dbfc96279d56f265d4fd5cb63b4d265b26b87e2ad6a4d3</cites><orcidid>0000-0002-9418-8184</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC9136088/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC9136088/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,314,724,777,781,882,21947,27834,27905,27906,44926,45314,53772,53774</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/35647216$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Pearson, Rachel</creatorcontrib><creatorcontrib>Sheridan, Christopher A.</creatorcontrib><creatorcontrib>Kang, Kaylee</creatorcontrib><creatorcontrib>Brown, Anne</creatorcontrib><creatorcontrib>Baham, Michael</creatorcontrib><creatorcontrib>Asarnow, Robert</creatorcontrib><creatorcontrib>Giza, Christopher C.</creatorcontrib><creatorcontrib>Choe, Meeryo C.</creatorcontrib><title>Post-Concussive Orthostatic Tachycardia is Distinct from Postural Orthostatic Tachycardia Syndrome (POTS) in Children and Adolescents</title><title>Child neurology open</title><addtitle>Child Neurol Open</addtitle><description>Background: Orthostatic tachycardia (OT) affects some patients after concussion/mild traumatic brain injury (mTBI). In this study, we sought to identify the factors associated with increased risk for OT in patients with mTBI. Methods: We conducted a retrospective review of 268 patients (8-25 years) with mTBI/concussion to determine the prevalence of OT, defined as orthostatic heart rate change ≥40 bpm for those ≤19 years of age and ≥30 bpm on active standing test for those >19 years of age. Results: Among the study population, 7% (n = 19) exhibited post-concussive OT. The only significant difference between OT and non-OT groups was that history of prior concussion was more prevalent in the OT group. Conclusion: A substantial subset (7%) of concussion clinic patients exhibit OT. While POTS literature describes female and adolescent predominance, post-concussive OT had similar prevalence across age and gender groups in this study, suggesting that it may be distinct from POTS.</description><subject>Age</subject><subject>Concussion</subject><subject>Heart rate</subject><subject>Original</subject><subject>Population studies</subject><subject>Tachycardia</subject><subject>Traumatic brain injury</subject><issn>2329-048X</issn><issn>2329-048X</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2022</creationdate><recordtype>article</recordtype><sourceid>AFRWT</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><recordid>eNp1UUtPxCAYJEajRv0BXgyJFz1UebTQXkzM-kxM1sQ9eCMUqIvpgkJrsj_A_y3N6vrKnoBhZj6GAWAfoxOMOT8llFQoLx8JwagkvKBrYHvAsgFc_7HfAnsxPiOEMKe8ImwTbNGC5Zxgtg3e733sspF3qo_Rvhk4Dt00QbKzCk6kms6VDNpKaCO8sLGzTnWwCX4GB2EfZLtS8TB3OhENPLofTx6OoXVwNLWtDsZB6TQ81741URnXxV2w0cg2mr3PdQdMri4no5vsbnx9Ozq_yxTFmGY5MTKvkCwaWakac8x13aiKEV7pgjWEFTpvdKFqRutcp2NNWF1yQ6RmMtd0B5wtbF_6emb0MDoFEC_BzmSYCy-t-H3j7FQ8-TdRYcpQWSaDo0-D4F97EzsxsylB20pnfB8FYTx9e4FykqiHf6jPvg8upROprLKgJa1oYuEFSwUfYzDN8jEYiaFm8a_mpDn4mWKp-Co1EU4WhCifzPfY1Y4fWWWyjw</recordid><startdate>202201</startdate><enddate>202201</enddate><creator>Pearson, Rachel</creator><creator>Sheridan, Christopher A.</creator><creator>Kang, Kaylee</creator><creator>Brown, Anne</creator><creator>Baham, Michael</creator><creator>Asarnow, Robert</creator><creator>Giza, Christopher C.</creator><creator>Choe, Meeryo C.</creator><general>SAGE Publications</general><general>Sage Publications Ltd</general><scope>AFRWT</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7TK</scope><scope>7X7</scope><scope>7XB</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9.</scope><scope>M0S</scope><scope>PIMPY</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope><scope>5PM</scope><orcidid>https://orcid.org/0000-0002-9418-8184</orcidid></search><sort><creationdate>202201</creationdate><title>Post-Concussive Orthostatic Tachycardia is Distinct from Postural Orthostatic Tachycardia Syndrome (POTS) in Children and Adolescents</title><author>Pearson, Rachel ; Sheridan, Christopher A. ; Kang, Kaylee ; Brown, Anne ; Baham, Michael ; Asarnow, Robert ; Giza, Christopher C. ; Choe, Meeryo C.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c3113-42ea490a5fa9cb1717dbfc96279d56f265d4fd5cb63b4d265b26b87e2ad6a4d3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2022</creationdate><topic>Age</topic><topic>Concussion</topic><topic>Heart rate</topic><topic>Original</topic><topic>Population studies</topic><topic>Tachycardia</topic><topic>Traumatic brain injury</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Pearson, Rachel</creatorcontrib><creatorcontrib>Sheridan, Christopher A.</creatorcontrib><creatorcontrib>Kang, Kaylee</creatorcontrib><creatorcontrib>Brown, Anne</creatorcontrib><creatorcontrib>Baham, Michael</creatorcontrib><creatorcontrib>Asarnow, Robert</creatorcontrib><creatorcontrib>Giza, Christopher C.</creatorcontrib><creatorcontrib>Choe, Meeryo C.</creatorcontrib><collection>Sage Journals GOLD Open Access 2024</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Neurosciences Abstracts</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central Essentials</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Publicly Available Content Database</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Child neurology open</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Pearson, Rachel</au><au>Sheridan, Christopher A.</au><au>Kang, Kaylee</au><au>Brown, Anne</au><au>Baham, Michael</au><au>Asarnow, Robert</au><au>Giza, Christopher C.</au><au>Choe, Meeryo C.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Post-Concussive Orthostatic Tachycardia is Distinct from Postural Orthostatic Tachycardia Syndrome (POTS) in Children and Adolescents</atitle><jtitle>Child neurology open</jtitle><addtitle>Child Neurol Open</addtitle><date>2022-01</date><risdate>2022</risdate><volume>9</volume><spage>2329048X221082753</spage><epage>2329048X221082753</epage><pages>2329048X221082753-2329048X221082753</pages><issn>2329-048X</issn><eissn>2329-048X</eissn><abstract>Background: Orthostatic tachycardia (OT) affects some patients after concussion/mild traumatic brain injury (mTBI). In this study, we sought to identify the factors associated with increased risk for OT in patients with mTBI. Methods: We conducted a retrospective review of 268 patients (8-25 years) with mTBI/concussion to determine the prevalence of OT, defined as orthostatic heart rate change ≥40 bpm for those ≤19 years of age and ≥30 bpm on active standing test for those >19 years of age. Results: Among the study population, 7% (n = 19) exhibited post-concussive OT. The only significant difference between OT and non-OT groups was that history of prior concussion was more prevalent in the OT group. Conclusion: A substantial subset (7%) of concussion clinic patients exhibit OT. While POTS literature describes female and adolescent predominance, post-concussive OT had similar prevalence across age and gender groups in this study, suggesting that it may be distinct from POTS.</abstract><cop>Los Angeles, CA</cop><pub>SAGE Publications</pub><pmid>35647216</pmid><doi>10.1177/2329048X221082753</doi><orcidid>https://orcid.org/0000-0002-9418-8184</orcidid><oa>free_for_read</oa></addata></record> |
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| source | Sage Journals GOLD Open Access 2024; EZB-FREE-00999 freely available EZB journals; PubMed Central |
| subjects | Age Concussion Heart rate Original Population studies Tachycardia Traumatic brain injury |
| title | Post-Concussive Orthostatic Tachycardia is Distinct from Postural Orthostatic Tachycardia Syndrome (POTS) in Children and Adolescents |
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