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Article ; Online: Persistent Exertional Intolerance After COVID-19: Insights From Invasive Cardiopulmonary Exercise Testing.

Singh, Inderjit / Joseph, Phillip / Heerdt, Paul M / Cullinan, Marjorie / Lutchmansingh, Denyse D / Gulati, Mridu / Possick, Jennifer D / Systrom, David M / Waxman, Aaron B

Chest

2021  Volume 161, Issue 1, Page(s) 54–63

Abstract: ... invasive cardiopulmonary exercise testing (iCPET) and compared the results with those from 10 age- and sex ... recovered from COVID-19 exhibited markedly reduced peak exercise aerobic capacity (oxygen consumption [VO ... intolerance that underlies the post-COVID-19 long-haul syndrome in patients without cardiopulmonary ...

Abstract Background: Some patients with COVID-19 who have recovered from the acute infection after experiencing only mild symptoms continue to exhibit persistent exertional limitation that often is unexplained by conventional investigative studies.
Research question: What is the pathophysiologic mechanism of exercise intolerance that underlies the post-COVID-19 long-haul syndrome in patients without cardiopulmonary disease?
Study design and methods: This study examined the systemic and pulmonary hemodynamics, ventilation, and gas exchange in 10 patients who recovered from COVID-19 and were without cardiopulmonary disease during invasive cardiopulmonary exercise testing (iCPET) and compared the results with those from 10 age- and sex-matched control participants. These data then were used to define potential reasons for exertional limitation in the cohort of patients who had recovered from COVID-19.
Results: The patients who had recovered from COVID-19 exhibited markedly reduced peak exercise aerobic capacity (oxygen consumption [VO
Interpretation: Patients who have recovered from COVID-19 without cardiopulmonary disease demonstrate a marked reduction in peak VO
MeSH term(s) COVID-19/complications ; COVID-19/physiopathology ; Connecticut ; Exercise Test/methods ; Exercise Tolerance ; Female ; Hemodynamics/physiology ; Humans ; Male ; Massachusetts ; Middle Aged ; Oxygen Consumption/physiology ; Respiratory Function Tests ; SARS-CoV-2 ; Stroke Volume/physiology
Language English
Publishing date 2021-08-11
Publishing country United States
Document type Journal Article
ZDB-ID 1032552-9
ISSN 1931-3543 ; 0012-3692
ISSN (online) 1931-3543
ISSN 0012-3692
DOI 10.1016/j.chest.2021.08.010
Shelf mark
Ui III Zs.45: Show issues Location:
Je nach Verfügbarkeit (siehe Angabe bei Bestand)
bis Jg. 2021: Bestellungen von Artikeln über das Online-Bestellformular
ab Jg. 2022: Lesesaal (EG)
Zs.MO 349: Show issues
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