The DOI matches its Crossref record; 3 of the 3 references it cites were found in a registry or an index.
Orthostatic Intolerance and Autonomic Dysfunction in Youth With Persistent Postconcussion Symptoms: A Head-Upright Tilt Table Study
Abstract
Objective To explore head-upright tilt table (HUT) signs of autonomic dysfunction in a cohort of youth with persistent postconcussion symptoms (PCSs) that include light-headedness and to correlate repeat tilt table results with symptom improvements for those patients found to have postural tachycardia syndrome (POTS) on initial testing. Design Prospective cohort design. Setting Nationwide Children's Hospital, Neurology Clinic. Participants Thirty-four patients (13-18 years of age) with persistent PCSs. Main outcome measures All patients underwent at least 1 tilt table test. The PCS Interview (PCS-I) and patient ratings of light-headedness and vertigo were used to measure symptom burden. Patients found to have POTS were asked to repeat tilt table testing when PCSs improved or 3 to 6 months after the initial test if symptoms persisted. Results Twenty-four of the 34 (70.6%) patients had abnormal tilt table results with patients categorized as normal (n = 10), isolated syncope (n = 10), and POTS (n = 14). Patients with POTS had higher PCS-I scores than normal patients (P Conclusions Our study demonstrates a high rate of tilt table abnormalities among youth with persistent PCSs. Several patients with POTS had normalization of tilt table testing when PCSs improved. These findings warrant further research of autonomic dysfunction related to concussion. Clinical relevance Our study is the first to prospectively characterize autonomic dysfunction in patients with persistent PCSs using…
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“The resolution of POTS often runs parallel with the resolution of postconcussive syndrome (75) likely reflecting the patient's return to physical activity.”
From Postural Orthostatic Tachycardia Syndrome (2019) · cites this paper as [75]
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Sorted by citations
Postural Orthostatic Tachycardia Syndrome
Bryarly, M., Phillips, L. T., Fu, Q., Vernino, S., & Levine, B. D. (2019) · Journal of the American College of Cardiology · doi:10.1016/j.jacc.2018.11.059 · Cited by 245
Pediatric Disorders of Orthostatic Intolerance
Stewart, J. M., Boris, J. R., Chelimsky, G., Fischer, P. R., Fortunato, J. E., Grubb, B. P., Heyer, G. L., Jarjour, I. T., Medow, M. S., Numan, M. T., et al. (2018) · Pediatrics · doi:10.1542/peds.2017-1673 · Cited by 222
Self-citationEvaluation of postural tachycardia syndrome (POTS)
Goodman, B. P. (2018) · Autonomic Neuroscience · doi:10.1016/j.autneu.2018.04.004 · Cited by 77
Metadata
- Authors
- Heyer, G. L., Fischer, A., Wilson, J., MacDonald, J., Cribbs, S., Ravindran, R., Pommering, T. L., & Cuff, S.
- Affiliations
- Nationwide Children's Hospital (US)
- Children's Hospital Colorado (US)
- Children's of Alabama (US)
- Corresponding author
- Heyer, Geoffrey L.
- ORCID
- Venue
- Clinical Journal of Sport Medicine
- Published
- 2016-01
- Volume
- 26
- Issue
- 1
- Pages
- 40-45
- ISSN
- 1050-642X (ISSN-L)
- OpenAlex
- W1975277259
- Cited by
- 64
- References
- 3
- Citations by year
- 2026: 12 · 2025: 6 · 2024: 2 · 2023: 6 · 2022: 7 · 2021: 4 · 2020: 2 · 2019: 4 · 2018: 8 · 2017: 8 · 2016: 5
- FWCI
- 7.05
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Clinical Journal of Sport Medicine (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Cardiovascular Syncope and Autonomic Disorders
- Health Sciences › Medicine › Clinical Neurology › Traumatic Brain Injury Research
- Health Sciences › Medicine › Clinical Neurology › Long-Term Effects of COVID-19
- Keywords
- autonomic dysfunction, postural orthostatic tachycardia syndrome, orthostatic intolerance, lightheadedness, vertigo, concussion, adolescents, syncope, symptom resolution
- MeSH terms
- Adolescent, Dizziness, Female, Humans, Interviews as Topic, Male, Prospective Studies, Syncope, Vertigo, Tilt-Table Test, Post-Concussion Syndrome, Postural Orthostatic Tachycardia Syndrome, Symptom Assessment
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