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Patient-Centered Paradigm for Managing Autonomic Long COVID Symptoms During Sports and Exercise.
Messinger-Rapport, Barbara; Grubb, Blair.
  • Messinger-Rapport B; Oak Street Health, Cleveland, Ohio.
  • Grubb B; The University of Toledo College of Medicine and Life Sciences, Toledo, Ohio; and.
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.
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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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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