Ventilatory efficiency in long-term dyspnoeic patients following COVID-19 pneumonia.


Journal

Respiratory physiology & neurobiology
ISSN: 1878-1519
Titre abrégé: Respir Physiol Neurobiol
Pays: Netherlands
ID NLM: 101140022

Informations de publication

Date de publication:
31 May 2024
Historique:
received: 11 04 2024
revised: 20 05 2024
accepted: 29 05 2024
medline: 3 6 2024
pubmed: 3 6 2024
entrez: 2 6 2024
Statut: aheadofprint

Résumé

Long COVID is defined as persistency of symptoms, such as exertional dyspnea, twelve weeks after recovery from SARS-CoV-2 infection. To investigate ventilatory efficiency by the use of cardiopulmonary exercise testing (CPET) in patients with exertional dyspnea despite normal basal spirometry after 18 (T One hundred patients with moderate-critical COVID-19 were prospectively enrolled in our Long COVID program. Medical history, physical examination and lung high-resolution computed tomography (HRCT) were obtained at hospitalization (T Remarkably, at CPET, ventilatory efficiency was reduced both at T At eighteen months from COVID-19 pneumonia, 20% of subjects still complains of exertional dyspnea. At CPET this may be explained by persistently reduced ventilatory efficiency, possibly related to the degree of lung parenchymal involvement in the acute phase of infection, likely reflecting a damage in the pulmonary circulation.

Sections du résumé

BACKGROUND BACKGROUND
Long COVID is defined as persistency of symptoms, such as exertional dyspnea, twelve weeks after recovery from SARS-CoV-2 infection.
OBJECTIVES OBJECTIVE
To investigate ventilatory efficiency by the use of cardiopulmonary exercise testing (CPET) in patients with exertional dyspnea despite normal basal spirometry after 18 (T
METHODS METHODS
One hundred patients with moderate-critical COVID-19 were prospectively enrolled in our Long COVID program. Medical history, physical examination and lung high-resolution computed tomography (HRCT) were obtained at hospitalization (T
RESULTS RESULTS
Remarkably, at CPET, ventilatory efficiency was reduced both at T
CONCLUSIONS CONCLUSIONS
At eighteen months from COVID-19 pneumonia, 20% of subjects still complains of exertional dyspnea. At CPET this may be explained by persistently reduced ventilatory efficiency, possibly related to the degree of lung parenchymal involvement in the acute phase of infection, likely reflecting a damage in the pulmonary circulation.

Identifiants

pubmed: 38825094
pii: S1569-9048(24)00078-8
doi: 10.1016/j.resp.2024.104285
pii:
doi:

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

104285

Informations de copyright

Copyright © 2024 The Author(s). Published by Elsevier B.V. All rights reserved.

Auteurs

Daniel Piamonti (D)

Department of Public Health and Infectious Diseases, Sapienza University of Rome, Italy. Electronic address: daniel.piamonti@uniroma1.it.

Luigi Panza (L)

Department of Public Health and Infectious Diseases, Sapienza University of Rome, Italy.

Roberto Flore (R)

Department of Public Health and Infectious Diseases, Sapienza University of Rome, Italy.

Valentina Baccolini (V)

Department of Public Health and Infectious Diseases, Sapienza University of Rome, Italy.

Daniela Pellegrino (D)

Department of Public Health and Infectious Diseases, Sapienza University of Rome, Italy.

Arianna Sanna (A)

Department of Public Health and Infectious Diseases, Sapienza University of Rome, Italy.

Altea Lecci (A)

Department of Public Health and Infectious Diseases, Sapienza University of Rome, Italy.

Giulia Lo Muzio (GL)

Department of Public Health and Infectious Diseases, Sapienza University of Rome, Italy.

Dario Angelone (D)

Department of Public Health and Infectious Diseases, Sapienza University of Rome, Italy.

Flavio Marco Mirabelli (FM)

Department of Public Health and Infectious Diseases, Sapienza University of Rome, Italy.

Matteo Morviducci (M)

Department of Public Health and Infectious Diseases, Sapienza University of Rome, Italy.

Paolo Onorati (P)

Alghero City Hospital, Pulmonology and Respiratory Pathophysiology Service, Alghero, Italy.

Emanuele Messina (E)

Department of Radiological Sciences, Oncology and Pathology, Sapienza University of Rome, Italy.

Valeria Panebianco (V)

Department of Radiological Sciences, Oncology and Pathology, Sapienza University of Rome, Italy.

Carlo Catalano (C)

Department of Radiological Sciences, Oncology and Pathology, Sapienza University of Rome, Italy.

Matteo Bonini (M)

Department of Public Health and Infectious Diseases, Sapienza University of Rome, Italy.

Paolo Palange (P)

Department of Public Health and Infectious Diseases, Sapienza University of Rome, Italy.

Classifications MeSH