Patient-Centered Paradigm for Managing Autonomic Long COVID Symptoms During Sports and Exercise.
Clin J Sport Med
; 33(2): e14-e15, 2023 03 01.
Article
in English
| MEDLINE | ID: covidwho-2271998
ABSTRACT
ABSTRACT This report highlights a new, patient-centered paradigm for managing post-COVID-19 dysautonomia symptoms during sports and exercise. The patient was a healthcare worker exposed before vaccination. She experienced postural orthostatic tachycardia plus exertional tachycardia, with postexertional fatigue, beginning a few weeks after testing positive for COVID-19. Stress test, echo, and an extensive dysautonomia evaluation were negative. Recommended nonpharmacological and pharmacological interventions were poorly tolerated. Prescription of a novel regimen of "basal-dose" ivabradine, plus very low-dose metoprolol according to an exertional "sliding scale" managed symptoms to an acceptable level for work and recreation.
Full text:
Available
Collection:
International databases
Database:
MEDLINE
Main subject:
Primary Dysautonomias
/
Postural Orthostatic Tachycardia Syndrome
/
COVID-19
Type of study:
Diagnostic study
/
Experimental Studies
Topics:
Long Covid
/
Vaccines
Limits:
Female
/
Humans
Language:
English
Journal:
Clin J Sport Med
Journal subject:
Sports Medicine
Year:
2023
Document Type:
Article
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