TY - JOUR
T1 - Adolescent fatigue, POTS, and recovery
T2 - A guide for clinicians
AU - Kizilbash, Sarah J.
AU - Ahrens, Shelley P.
AU - Bruce, Barbara K.
AU - Chelimsky, Gisela
AU - Driscoll, Sherilyn W.
AU - Harbeck-Weber, Cynthia
AU - Lloyd, Robin M.
AU - Mack, Kenneth J.
AU - Nelson, Dawn E.
AU - Ninis, Nelly
AU - Pianosi, Paolo T.
AU - Stewart, Julian M.
AU - Weiss, Karen E.
AU - Fischer, Philip R.
PY - 2014
Y1 - 2014
N2 - Many teenagers who struggle with chronic fatigue have symptoms suggestive of autonomic dysfunction that may include lightheadedness, headaches, palpitations, nausea, and abdominal pain. Inadequate sleep habits and psychological conditions can contribute to fatigue, as can concurrent medical conditions. One type of autonomic dysfunction, postural orthostatic tachycardia syndrome, is increasingly being identified in adolescents with its constellation of fatigue, orthostatic intolerance, and excessive postural tachycardia (more than 40 beats/min). A family-based approach to care with support from a multidisciplinary team can diagnose, treat, educate, and encourage patients. Full recovery is possible with multi-faceted treatment. The daily treatment plan should consist of increased fluid and salt intake, aerobic exercise, and regular sleep and meal schedules; some medications can be helpful. Psychological support is critical and often includes biobehavioral strategies and cognitive-behavioral therapy to help with symptom management. More intensive recovery plans can be implemented when necessary.
AB - Many teenagers who struggle with chronic fatigue have symptoms suggestive of autonomic dysfunction that may include lightheadedness, headaches, palpitations, nausea, and abdominal pain. Inadequate sleep habits and psychological conditions can contribute to fatigue, as can concurrent medical conditions. One type of autonomic dysfunction, postural orthostatic tachycardia syndrome, is increasingly being identified in adolescents with its constellation of fatigue, orthostatic intolerance, and excessive postural tachycardia (more than 40 beats/min). A family-based approach to care with support from a multidisciplinary team can diagnose, treat, educate, and encourage patients. Full recovery is possible with multi-faceted treatment. The daily treatment plan should consist of increased fluid and salt intake, aerobic exercise, and regular sleep and meal schedules; some medications can be helpful. Psychological support is critical and often includes biobehavioral strategies and cognitive-behavioral therapy to help with symptom management. More intensive recovery plans can be implemented when necessary.
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U2 - 10.1016/j.cppeds.2013.12.014
DO - 10.1016/j.cppeds.2013.12.014
M3 - Review article
C2 - 24819031
AN - SCOPUS:84900320866
SN - 1538-5442
VL - 44
SP - 108
EP - 133
JO - Current problems in pediatric and adolescent health care
JF - Current problems in pediatric and adolescent health care
IS - 5
ER -