Patient-Centered Paradigm for Managing Autonomic Long COVID Symptoms During Sports and Exercise-Reference-Cited by-同舟云学术

Patient-Centered Paradigm for Managing Autonomic Long COVID Symptoms During Sports and Exercise

Published:2022-11-06 Issue:2 Volume:33 Page:e14-e15
ISSN:1050-642X
Container-title:Clinical Journal of Sport Medicine
language:en
Short-container-title:

Author:

Messinger-Rapport Barbara¹^ORCID,Grubb Blair²³

Affiliation:

1. Oak Street Health, Cleveland, Ohio

2. The University of Toledo College of Medicine and Life Sciences, Toledo, Ohio; and

3. The University of Toledo Medical Center, Toledo, Ohio.

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.

Publisher

Ovid Technologies (Wolters Kluwer Health)

Subject

Physical Therapy, Sports Therapy and Rehabilitation,Orthopedics and Sports Medicine

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1. Post-COVID dysautonomias: what we know and (mainly) what we don’t know;Nature Reviews Neurology;2024-01-11

2. Ivabradine/metoprolol-tartrate/pyridostigmine;Reactions Weekly;2023-09-16

3. Postural orthostatic tachycardia syndrome and other related dysautonomic disorders after SARS-CoV-2 infection and after COVID-19 messenger RNA vaccination;Frontiers in Neurology;2023-08-16

4. The use of prescription drugs and health care services during the 6-month post-COVID-19 period;Scientific Reports;2023-07-19