Summary:
- The authors respond to a review on cardiovascular autonomic dysfunction in post-COVID-19 syndrome, emphasizing the importance of recognizing CVAD in long COVID patients.
- Graded exercise therapy is not recommended for patients with Post Exertional Malaise, as it has been found to be ineffective and can lead to symptomatic and functional deterioration.
- Research shows that exercise in long COVID patients is associated with abnormal immune and metabolic responses, indicating that graded exercise therapy should not be recommended for these individuals.
- However, exercise recommendations in the review can be followed for long COVID patients without post-exertional malaise.
- The authors also highlight the need for support in keeping daily activities within the available energy for individuals with post-exertional malaise.
- They advise against graded exercise therapy and suggest further research into non-pharmacological and pharmacological interventions for long COVID patients.
- For more information, you can visit the source link
Response to research:
- Authors thank van Rhijn-Brouwer and colleagues for their response to their Review on cardiovascular autonomic dysfunction in post-COVID-19 syndrome
- Authors clarify that they did not advocate generic advice to ‘do exercise’, but were calling for a more nuanced, individualized, and supervised approach to exercise
- They emphasize the need for further research to understand how best to care for patients with cardiovascular autonomic dysfunction in post-COVID-19 syndrome
- The authors agree with van Rhijn-Brouwer and colleagues that new evidence based on well-designed trials will be crucial
- They highlight the ongoing projects in their Review and the importance of waiting for the verdict and respecting it when it comes
For more information, you can visit the source link
In managing post-COVID-19 syndrome, a nuanced, individualized, and supervised approach to exercise is crucial, avoiding generic advice. Ongoing research projects are essential, and evidence from well-designed trials will be crucial in guiding optimal care for patients with cardiovascular autonomic dysfunction.
Long Covid The Answers
Credible Source:
The original research is Fedorowski, A., Fanciulli, A., Raj, S.R. et al. Cardiovascular autonomic dysfunction in post-COVID-19 syndrome: a major health-care burden. Nat Rev Cardiol (2024). https://doi.org/10.1038/s41569-023-00962-3 and is behind a paywall.
