Two-day cardiopulmonary exercise testing in long COVID post-exertional malaise diagnosis.

Publication date: Jan 01, 2025

Long COVID patients present with a myriad of symptoms that can include fatigue, exercise intolerance and post exertional malaise (PEM). Long COVID has been compared to other post viral syndromes, including myalgic encephalomyelitis/chronic fatigue syndrome (ME/CFS), where a reduction in day 2 cardiopulmonary exercise test (CPET) performance of a two-day CPET protocol is suggested to be a result of PEM. We investigated cardiopulmonary and perceptual responses to a two-day CPET protocol in Long COVID patients. 15 Long COVID patients [n=7 females; mean (SD) age: 53(11) yr; BMI = 32. 2(8. 5) kg/m] performed a pulmonary function test and two ramp-incremental CPETs separated by 24 hr. CPET variables included gas exchange threshold (GET), peak oxygen uptake (V̇O) and peak work rate (WR). Ratings of perceived dyspnoea and leg effort were recorded at peak exercise using the modified 0-10 Borg Scale. PEM (past six months) was assessed using the modified DePaul Symptom Questionnaire (mDSQ). One-sample t-tests were used to test significance of mean difference between days (p

Concepts Keywords
Cardiopulmonary Adult
Day Aged
Females Cardiopulmonary exercise testing
Intolerance COVID-19
Viral Deconditioning
Exercise Test
Exercise Tolerance
Exercise tolerance
Fatigue
Female
Humans
Long COVID
Male
Middle Aged
Oxygen Consumption
PEM
Post-Acute COVID-19 Syndrome
Respiratory Function Tests

Semantics

Type Source Name
disease MESH long COVID
disease MESH syndromes
disease MESH myalgic encephalomyelitis
disease MESH ramp
drug DRUGBANK Oxygen
disease IDO symptom
disease MESH COVID-19

Original Article

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