Dysautonomia following COVID-19 is not associated with subjective limitations or symptoms but is associated with objective functional limitations
TLDR
In this paper , the authors identify objective exercise capacity differences between patients with and without dysautonomia and find no associations between subjective symptoms or perceived functional limitation and dysautonomic disorders.About:
This article is published in Heart Rhythm.The article was published on 2022-04-01 and is currently open access. It has received 45 citations till now. The article focuses on the topics: Dysautonomia & Medicine.read more
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ESCMID rapid guidelines for assessment and management of long COVID
Dana Yelin,Charalampos D. Moschopoulos,Ili Margalit,Effrossyni Gkrania-Klotsas,Francesco Landi,Jean-Paul Stahl,Dafna Yahav +6 more
TL;DR: In this paper , the authors provide evidence-based recommendations for the assessment and management of individuals with persistent symptoms after acute COVID-19 infection and to provide a definition for this entity, termed "long COVID".
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Use of Cardiopulmonary Exercise Testing to Evaluate Long COVID-19 Symptoms in Adults
Matthew S Durstenfeld,Kaiwen Sun,Peggy Tahir,Michael J. Peluso,Steven G. Deeks,Mandar A. Aras,Donald J. Grandis,Carlin S. Long,Alexis L. Beatty,Priscilla Y. Hsue +9 more
TL;DR: Findings among individuals with exertional intolerance suggest that deconditioning, dysfunctional breathing, chronotropic incompetence, and abnormal peripheral oxygen extraction and/or use may contribute to reduced exercise capacity.
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Long COVID and the cardiovascular system—elucidating causes and cellular mechanisms in order to develop targeted diagnostic and therapeutic strategies: a joint Scientific Statement of the ESC Working Groups on Cellular Biology of the Heart and Myocardial and Pericardial Diseases
Mariann Gyöngyösi,Pilar Alcaide,Folkert W. Asselbergs,Bianca J. J. M. Brundel,Giovanni G. Camici,Paula A. da Costa Martins,Péter Ferdinandy,Marianna Fontana,Henrique Girão,Massimiliano Gnecchi,Can Gollmann-Tepeköylü,Petra Kleinbongard,Thomas Krieg,Rosalinda Madonna,M. Paillard,Antonis Pantazis,R. Perrino,Maurizio Pesce,Gabriele G. Schiattarella,Joost P.G. Sluijter,Sabine Steffens,Carsten Tschöpe,Sophie Van Linthout,Sean M. Davidson +23 more
TL;DR: In this article , the authors aim to provide insight into the possible causes and therapeutic options available for the cardiovascular manifestations of long COVID, including chronic fatigue, chest pain, ECG abnormalities, postural orthostatic tachycardia, or newly developed supraventricular or ventricular arrhythmias.
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Long COVID: mechanisms, risk factors and recovery
TL;DR: In this paper , the authors highlight the progress in understanding the pathophysiology and cellular mechanisms underlying long COVID and potential therapeutic and management strategies, and highlight how a key component of performance monitoring in active populations, cardiopulmonary exercise training, has revealed long-coVID-related changes in physiology, including alterations in peripheral muscle function, ventilatory inefficiency and autonomic dysfunction.
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Dysautonomia in COVID-19 Patients: A Narrative Review on Clinical Course, Diagnostic and Therapeutic Strategies
Francisco Carmona-Torre,Ane Mínguez-Olaondo,A. López-Bravo,Beatriz Tijero,Vesselina T. Grozeva,Michaela Walcker,Harkaitz Azkune-Galparsoro,Adolfo López de Munain,Ana B. Alcaide,Jorge Quiroga,José Luis del Pozo,Juan Carlos Gómez-Esteban +11 more
TL;DR: A better understanding of the pathophysiological mechanisms of Post-COVID manifestations that affect the autonomic nervous system, and targeted therapeutic management could help reduce the sequelae of COVID-19, especially if the authors act in the earliest phases of the disease.
References
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Psychophysical bases of perceived exertion
TL;DR: A presentation is made of ratio-scaling methods, category methods, especially the Borg Scale for ratings of perceived exertion, and a new method that combines the category method with ratio properties.
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Persistent Symptoms in Patients After Acute COVID-19.
TL;DR: This case series describes COVID-19 symptoms persisting a mean of 60 days after onset among Italian patients previously discharged from CO VID-19 hospitalization.
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A healthy heart is not a metronome: an integrative review of the heart's anatomy and heart rate variability.
TL;DR: The authors conclude that a coherent heart is not a metronome because its rhythms are characterized by both complexity and stability over longer time scales.
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Heart-rate profile during exercise as a predictor of sudden death.
Xavier Jouven,Jean Philippe Empana,Peter J. Schwartz,Michel Desnos,Dominique Courbon,Pierre Ducimetière +5 more
TL;DR: The heart-rate profile during exercise and recovery is a predictor of sudden death among apparently healthy persons, with a moderate but significantly increased risk of death from any cause but not of nonsudden death from myocardial infarction.
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Persistent symptoms 3 months after a SARS-CoV-2 infection: the post-COVID-19 syndrome?
Yvonne M J Goërtz,Maarten Van Herck,Jeannet M. Delbressine,Anouk W. Vaes,Roy Meys,Roy Meys,Felipe V C Machado,Felipe V C Machado,Sarah Houben-Wilke,Chris Burtin,Rein Posthuma,Rein Posthuma,Frits M.E. Franssen,Frits M.E. Franssen,Nicole P.H. Van Loon,Bita Hajian,Bita Hajian,Yvonne Spies,Herman Vijlbrief,Alex J van 't Hul,Daisy J.A. Janssen,Martijn A. Spruit +21 more
TL;DR: In previously hospitalised and nonhospitalised patients with confirmed or suspected COVID-19, multiple symptoms are present about 3 months after symptoms onset, which suggests the presence of a “post-CO VID-19 syndrome” and highlights the unmet healthcare needs in a subgroup of patients with “mild” or “severe” COvid-19.