1. Post-COVID-19 syndrome: prospective evaluation of clinical and functional outcomes
- Author
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M Marcos Mangas, C Veras Burgos, M Garcia Gomez, M Carrasco Moraleja, Aitor Uribarri, C Ybarra Falcon, I.J. Amat Santos, A. San Roman Calvar, S Jaurrieta Largo, Álvaro Aparisi, C Iglesias Echeverria, J Tobar, Pablo Catalá, Raquel Ladrón, and Williams Hinojosa
- Subjects
medicine.medical_specialty ,Lung ,Coronavirus disease 2019 (COVID-19) ,Endothelium ,business.industry ,Abstract Supplement ,Ventilation/perfusion ratio ,Prospective evaluation ,Persistence (computer science) ,medicine.anatomical_structure ,Autoimmune/Chronic Inflammatory Disorders and Heart Disease ,Internal medicine ,Cardiology ,Medicine ,AcademicSubjects/MED00200 ,Carbon dioxide output ,Cardiology and Cardiovascular Medicine ,business ,Prospective cohort study - Abstract
Introduction Coronavirus disease 2019 (COVID-19) is a highly pathogenic coronavirus characterized by by systemic inflammatory response with endothelial damage and a dysregulated coagulation system. Despite most patients survive the acute setting of COVID-19, their long-term clinical sequelae are highly unclear. We have sought to identify the impact of post-COVID-19 syndrome on mid-term follow-up and gain some additional insights about the potential explanation for persistence of dyspnea. Methods This is a 3-month prospective cohort study of previously hospitalised COVID-19 patients recruited from a single Spanish center, a small outpatient group without prior hospitalisation was also evaluated. Patients underwent serial testing with cardio-pulmonary exercise test (CPET), transthoracic echocardiogram, pulmonary lung test, six-minute walking test, serum biomarker analysis and quality of life questionaries. They were classify according to the presence of persistent dyspnea. Primary study outcome was predicted peak oxygen consumption (V02) according to CPET and predicted carbon monoxide diffusion capacity. Results Our study included 41 (58.6%) patients with dyspnea and 29 (41.4%) asymptomatic. Symptomatic patients had a higher proportion of females (73.2% vs. 51.7%), but comparable age and prevalence of cardiovascular risk factors. We did not observe differences among the assessed variables in transthoracic echocardiogram and pulmonary function test. Patients who referred dyspnea had smaller predicted peak O2 consumption (77.8 [64–92.5] vs. 99 [88–105]: p Interpretation In this study >50% of COVID-19 survivors present a symptomatic functional impairment irrespective of age or prior hospitalization. Compared to asymptomatic patients, among those who referred dyspnea our findings suggest potential ventilatory inefficiency. Funding Acknowledgement Type of funding sources: Public grant(s) – National budget only. Main funding source(s): Gerencia Regional de Salud de Castilla y Leόn; Grant from the Spanish Society of Cardiology Tabla de resultados
- Published
- 2021
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