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Importance of Cardiopulmonary Exercise Testing amongst Subjects Recovering from COVID-19.
Dorelli, Gianluigi; Braggio, Michele; Gabbiani, Daniele; Busti, Fabiana; Caminati, Marco; Senna, Gianenrico; Girelli, Domenico; Laveneziana, Pierantonio; Ferrari, Marcello; Sartori, Giulia; Dalle Carbonare, Luca; Crisafulli, Ernesto.
  • Dorelli G; School of Medicine in Sports and Exercise, University of Verona, 37134 Verona, Italy.
  • Braggio M; School of Medicine in Sports and Exercise, University of Verona, 37134 Verona, Italy.
  • Gabbiani D; Department of Medicine, Section of Internal Medicine, University of Verona and Azienda Ospedaliera Universitaria Integrata of Verona, 37134 Verona, Italy.
  • Busti F; Department of Medicine, Section of Internal Medicine, University of Verona and Azienda Ospedaliera Universitaria Integrata of Verona, 37134 Verona, Italy.
  • Caminati M; Department of Medicine, Allergy and Clinical Immunology Section, University of Verona and Azienda Ospedaliera Universitaria Integrata of Verona, 37134 Verona, Italy.
  • Senna G; Department of Medicine, Allergy and Clinical Immunology Section, University of Verona and Azienda Ospedaliera Universitaria Integrata of Verona, 37134 Verona, Italy.
  • Girelli D; Department of Medicine, Section of Internal Medicine, University of Verona and Azienda Ospedaliera Universitaria Integrata of Verona, 37134 Verona, Italy.
  • Laveneziana P; INSERM, UMRS1158 Neurophysiologie Respiratoire Expérimentale et Clinique, AP-HP, Sorbonne Université, Groupe Hospitalier Pitié-Salpêtrière Charles Foix, Service des Explorations Fonctionnelles de la Respiration, de l'Exercice et de la Dyspnée du Département Médico-Universitaire «APPROCHES¼, 75013 Pa
  • Ferrari M; School of Medicine in Sports and Exercise, University of Verona, 37134 Verona, Italy.
  • Sartori G; Department of Medicine, Section of Internal Medicine, University of Verona and Azienda Ospedaliera Universitaria Integrata of Verona, 37134 Verona, Italy.
  • Dalle Carbonare L; Respiratory Medicine Unit, University of Verona and Azienda Ospedaliera Universitaria Integrata of Verona, 37134 Verona, Italy.
  • Crisafulli E; School of Medicine in Sports and Exercise, University of Verona, 37134 Verona, Italy.
  • On Behalf Of The Respicovid Study Investigators; Department of Medicine, Section of Internal Medicine, University of Verona and Azienda Ospedaliera Universitaria Integrata of Verona, 37134 Verona, Italy.
Diagnostics (Basel) ; 11(3)2021 Mar 12.
Article in English | MEDLINE | ID: covidwho-1158368
Semantic information from SemMedBD (by NLM)
1. Evaluation procedure COEXISTS_WITH Breathing Exercises
Subject
Evaluation procedure
Predicate
COEXISTS_WITH
Object
Breathing Exercises
2. Evaluation procedure COEXISTS_WITH Breathing Exercises
Subject
Evaluation procedure
Predicate
COEXISTS_WITH
Object
Breathing Exercises
ABSTRACT
The cardiopulmonary exercise test (CPET) provides an objective assessment of ventilatory limitation, related to the exercise minute ventilation (VE) coupled to carbon dioxide output (VCO2) (VE/VCO2); high values of VE/VCO2 slope define an exercise ventilatory inefficiency (EVin). In subjects recovered from hospitalised COVID-19, we explored the methodology of CPET in order to evaluate the presence of cardiopulmonary alterations. Our prospective study (RESPICOVID) has been proposed to evaluate pulmonary damage's clinical impact in post-COVID subjects. In a subgroup of subjects (RESPICOVID2) without baseline confounders, we performed the CPET. According to the VE/VCO2 slope, subjects were divided into having EVin and exercise ventilatory efficiency (EVef). Data concerning general variables, hospitalisation, lung function, and gas-analysis were also collected. The RESPICOVID2 enrolled 28 subjects, of whom 8 (29%) had EVin. As compared to subjects with EVef, subjects with EVin showed a reduction in heart rate (HR) recovery. VE/VCO2 slope was inversely correlated with HR recovery; this correlation was confirmed in a subgroup of older, non-smoking male subjects, regardless of the presence of arterial hypertension. More than one-fourth of subjects recovered from hospitalised COVID-19 have EVin. The relationship between EVin and HR recovery may represent a novel hallmark of post-COVID cardiopulmonary alterations.
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Full text: Available Collection: International databases Database: MEDLINE Type of study: Cohort study / Experimental Studies / Observational study / Prognostic study Topics: Long Covid Language: English Year: 2021 Document Type: Article Affiliation country: Diagnostics11030507

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Full text: Available Collection: International databases Database: MEDLINE Type of study: Cohort study / Experimental Studies / Observational study / Prognostic study Topics: Long Covid Language: English Year: 2021 Document Type: Article Affiliation country: Diagnostics11030507