Deconditioning as main mechanism of impaired exercise response in COVID-19 survivors

SARS-CoV-2 (severe acute respiratory syndrome coronavirus 2) and the related coronavirus disease 2019 (COVID-19) hit Europe in February 2020 [1], raising issues on acute phase management and, later on, the management of its long-term sequelae. Cardiopulmonary exercise testing (CPET), which is the go...

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Published inThe European respiratory journal Vol. 58; no. 2; p. 2100870
Main Authors Rinaldo, Rocco Francesco, Mondoni, Michele, Parazzini, Elena Maria, Pitari, Federica, Brambilla, Elena, Luraschi, Simone, Balbi, Maurizio, Sferrazza Papa, Giuseppe Francesco, Sotgiu, Giovanni, Guazzi, Marco, Di Marco, Fabiano, Centanni, Stefano
Format Journal Article
LanguageEnglish
Published England European Respiratory Society 06.05.2021
Subjects
Agora
Online AccessGet full text
ISSN0903-1936
1399-3003
1399-3003
DOI10.1183/13993003.00870-2021

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Abstract SARS-CoV-2 (severe acute respiratory syndrome coronavirus 2) and the related coronavirus disease 2019 (COVID-19) hit Europe in February 2020 [1], raising issues on acute phase management and, later on, the management of its long-term sequelae. Cardiopulmonary exercise testing (CPET), which is the gold standard for the evaluation of exercise capacity, is included in the list of examinations of the European Respiratory Society/American Thoracic Society task force for the follow-up of COVID-19 patients [2]. However, it is not performed in every clinical centre, as it requires specific technical skills. The objective of this observational, prospective study was to evaluate the sequelae of COVID-19 by assessing exercise performance during incremental CPET. CPET reveals only a mild impairment of exercise capacity, with preserved ventilatory and gas exchange response at 3 months follow-up in COVID-19 survivors, due to deconditioning https://bit.ly/3sI8e0Y
AbstractList SARS-CoV-2 (severe acute respiratory syndrome coronavirus 2) and the related coronavirus disease 2019 (COVID-19) hit Europe in February 2020 [1], raising issues on acute phase management and, later on, the management of its long-term sequelae. Cardiopulmonary exercise testing (CPET), which is the gold standard for the evaluation of exercise capacity, is included in the list of examinations of the European Respiratory Society/American Thoracic Society task force for the follow-up of COVID-19 patients [2]. However, it is not performed in every clinical centre, as it requires specific technical skills. The objective of this observational, prospective study was to evaluate the sequelae of COVID-19 by assessing exercise performance during incremental CPET. CPET reveals only a mild impairment of exercise capacity, with preserved ventilatory and gas exchange response at 3 months follow-up in COVID-19 survivors, due to deconditioning https://bit.ly/3sI8e0Y
Author Luraschi, Simone
Balbi, Maurizio
Brambilla, Elena
Sferrazza Papa, Giuseppe Francesco
Di Marco, Fabiano
Mondoni, Michele
Parazzini, Elena Maria
Pitari, Federica
Rinaldo, Rocco Francesco
Centanni, Stefano
Sotgiu, Giovanni
Guazzi, Marco
AuthorAffiliation 5 Clinical Epidemiology and Medical Statistics Unit, Dept of Medical, Surgical and Experimental Medicine, University of Sassari, Sassari, Italy
6 Dept of Health Sciences, Cardiology Unit, ASST Santi Paolo e Carlo, San Paolo Hospital, University of Milan, Milan, Italy
3 Dipartimento di Scienze Neuroriabilitative, Casa di Cura del Policlinico, Milan, Italy
7 Dept of Health Sciences, Respiratory Unit, ASST Papa Giovanni XXIII Hospital, University of Milan, Bergamo, Italy
4 Dept of Health Sciences, University of Milan, Milan, Italy
2 Radiologic Sciences, Dept of Medicine and Surgery, University of Parma, Parma, Italy
1 Dept of Health Sciences, Respiratory Unit, ASST Santi Paolo e Carlo, San Paolo Hospital, University of Milan, Milan, Italy
AuthorAffiliation_xml – name: 2 Radiologic Sciences, Dept of Medicine and Surgery, University of Parma, Parma, Italy
– name: 1 Dept of Health Sciences, Respiratory Unit, ASST Santi Paolo e Carlo, San Paolo Hospital, University of Milan, Milan, Italy
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– name: 6 Dept of Health Sciences, Cardiology Unit, ASST Santi Paolo e Carlo, San Paolo Hospital, University of Milan, Milan, Italy
– name: 3 Dipartimento di Scienze Neuroriabilitative, Casa di Cura del Policlinico, Milan, Italy
– name: 7 Dept of Health Sciences, Respiratory Unit, ASST Papa Giovanni XXIII Hospital, University of Milan, Bergamo, Italy
– name: 5 Clinical Epidemiology and Medical Statistics Unit, Dept of Medical, Surgical and Experimental Medicine, University of Sassari, Sassari, Italy
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  fullname: Rinaldo, Rocco Francesco
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  surname: Centanni
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BackLink https://www.ncbi.nlm.nih.gov/pubmed/33926969$$D View this record in MEDLINE/PubMed
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  year: 2021
  ident: 2021082603200797000_58.2.2100870.13
  article-title: Medium-term effects of SARS-CoV-2 infection on multiple vital organs, exercise capacity, cognition, quality of life and mental health, post-hospital discharge
  publication-title: EClinicalMedicine
  doi: 10.1016/j.eclinm.2020.100683
– ident: 2021082603200797000_58.2.2100870.15
  doi: 10.1183/13993003.03481-2020
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Snippet SARS-CoV-2 (severe acute respiratory syndrome coronavirus 2) and the related coronavirus disease 2019 (COVID-19) hit Europe in February 2020 [1], raising...
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Title Deconditioning as main mechanism of impaired exercise response in COVID-19 survivors
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