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Persisting exercise ventilatory inefficiency in subjects recovering from COVID-19. Longitudinal data analysis 34 months post-discharge

SARS-CoV-2 infection has raised concerns about long-term health repercussions. Exercise ventilatory inefficiency (EVin) has emerged as a notable long-term sequela, potentially impacting respiratory and cardiovascular health. This study aims to assess the long-term presence of EVin after 34 months an...

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Published in:BMC pulmonary medicine 2024-05, Vol.24 (1), p.258-258, Article 258
Main Authors: Dorelli, Gianluigi, Sartori, Giulia, Fasoli, Giulia, Ridella, Nicolò, Bianchini, Nicola, Braggio, Michele, Ferrari, Marcello, Venturelli, Massimo, Carbonare, Luca Dalle, Capelli, Carlo, Grassi, Bruno, Crisafulli, Ernesto
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Sartori, Giulia
Fasoli, Giulia
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Bianchini, Nicola
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Carbonare, Luca Dalle
Capelli, Carlo
Grassi, Bruno
Crisafulli, Ernesto
description SARS-CoV-2 infection has raised concerns about long-term health repercussions. Exercise ventilatory inefficiency (EVin) has emerged as a notable long-term sequela, potentially impacting respiratory and cardiovascular health. This study aims to assess the long-term presence of EVin after 34 months and its association with cardiorespiratory health in post-COVID patients. In a longitudinal study on 32 selected post-COVID subjects, we performed two cardiopulmonary exercise tests (CPETs) at 6 months (T0) and 34 months (T1) after hospital discharge. The study sought to explore the long-term persistence of EVin and its correlation with respiratory and cardiovascular responses during exercise. Measurements included also V̇O end-tidal pressure of CO (PET ) levels, oxygen uptake efficiency slope (OUES) and other cardiorespiratory parameters, with statistical significance set at p 
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Evef subjects demonstrated selective improvements in DL and oxygen pulse, suggesting a recovery in cardiorespiratory function over time. In contrast, those with pEvin did not exhibit these improvements. Notably, significant correlations were found between hyperventilation (measured by PET ), oxygen pulse and OUES, indicating the potential prognostic value of OUES and Evin in post-COVID follow-ups. The study highlights the clinical importance of long-term follow-up for post-COVID patients, as a significant group exhibit persistent EVin, which correlates with altered and potentially unfavorable cardiovascular responses to exercise. 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Longitudinal data analysis 34 months post-discharge</title><title>BMC pulmonary medicine</title><addtitle>BMC Pulm Med</addtitle><description>SARS-CoV-2 infection has raised concerns about long-term health repercussions. Exercise ventilatory inefficiency (EVin) has emerged as a notable long-term sequela, potentially impacting respiratory and cardiovascular health. This study aims to assess the long-term presence of EVin after 34 months and its association with cardiorespiratory health in post-COVID patients. In a longitudinal study on 32 selected post-COVID subjects, we performed two cardiopulmonary exercise tests (CPETs) at 6 months (T0) and 34 months (T1) after hospital discharge. The study sought to explore the long-term persistence of EVin and its correlation with respiratory and cardiovascular responses during exercise. 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Longitudinal data analysis 34 months post-discharge</atitle><jtitle>BMC pulmonary medicine</jtitle><addtitle>BMC Pulm Med</addtitle><date>2024-05-25</date><risdate>2024</risdate><volume>24</volume><issue>1</issue><spage>258</spage><epage>258</epage><pages>258-258</pages><artnum>258</artnum><issn>1471-2466</issn><eissn>1471-2466</eissn><abstract>SARS-CoV-2 infection has raised concerns about long-term health repercussions. Exercise ventilatory inefficiency (EVin) has emerged as a notable long-term sequela, potentially impacting respiratory and cardiovascular health. This study aims to assess the long-term presence of EVin after 34 months and its association with cardiorespiratory health in post-COVID patients. In a longitudinal study on 32 selected post-COVID subjects, we performed two cardiopulmonary exercise tests (CPETs) at 6 months (T0) and 34 months (T1) after hospital discharge. 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source Open Access: PubMed Central; Publicly Available Content Database; Coronavirus Research Database
subjects Adult
Aged
Analysis
Artificial respiration
Asymptomatic
Blood pressure
Carbon dioxide
Cardiopulmonary exercise test
Cardiovascular system
Chronic illnesses
COVID-19
COVID-19 - complications
COVID-19 - physiopathology
Data analysis
Efficiency
Electrocardiography
End-tidal pressure of CO2
Exercise
Exercise - physiology
Exercise Test
Exercise tests
Exercise ventilatory inefficiency
Female
Humans
Hypertension
Hyperventilation
Hypotheses
Infections
Longitudinal Studies
Male
Middle Aged
Oxygen Consumption - physiology
Oxygen pulse
Patient Discharge
Patient outcomes
Patients
Physical fitness
Physiology, Pathological
SARS-CoV-2
Severe acute respiratory syndrome coronavirus 2
title Persisting exercise ventilatory inefficiency in subjects recovering from COVID-19. Longitudinal data analysis 34 months post-discharge
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