Cardiorespiratory considerations for return-to-play in elite athletes after COVID-19 infection: a practical guide for sport and exercise medicine physicians

Author:

Wilson Mathew GORCID,Hull James HORCID,Rogers John,Pollock Noel,Dodd Miranda,Haines JemmaORCID,Harris Sally,Loosemore MikeORCID,Malhotra AneilORCID,Pieles GuidoORCID,Shah AnandORCID,Taylor Lesley,Vyas Aashish,Haddad Fares S,Sharma SanjayORCID

Abstract

SARS-CoV-2 is the causative virus responsible for the COVID-19 pandemic. This pandemic has necessitated that all professional and elite sport is either suspended, postponed or cancelled altogether to minimise the risk of viral spread. As infection rates drop and quarantine restrictions are lifted, the question how athletes can safely resume competitive sport is being asked. Given the rapidly evolving knowledge base about the virus and changing governmental and public health recommendations, a precise answer to this question is fraught with complexity and nuance. Without robust data to inform policy, return-to-play (RTP) decisions are especially difficult for elite athletes on the suspicion that the COVID-19 virus could result in significant cardiorespiratory compromise in a minority of afflicted athletes. There are now consistent reports of athletes reporting persistent and residual symptoms many weeks to months after initial COVID-19 infection. These symptoms include cough, tachycardia and extreme fatigue. To support safe RTP, we provide sport and exercise medicine physicians with practical recommendations on how to exclude cardiorespiratory complications of COVID-19 in elite athletes who place high demand on their cardiorespiratory system. As new evidence emerges, guidance for a safe RTP should be updated.

Publisher

BMJ

Subject

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

Reference29 articles.

1. Elite sport return to training guidance: step one. Available: https://www.gov.uk/government/publications/coronavirus-covid-19-guidance-on-phased-return-of-sport-and-recreation/elite-sport-return-to-training-guidance-step-one--2

2. Respiratory health in athletes: facing the COVID-19 challenge;Hull;Lancet Respir Med,2020

3. Clinical features of patients infected with 2019 novel coronavirus in Wuhan, China;Huang;The Lancet,2020

4. Association of cardiac injury with mortality in hospitalized patients with COVID-19 in Wuhan, China;Shi;JAMA Cardiol,2020

5. Cardiovascular implications of fatal outcomes of patients with coronavirus disease 2019 (COVID-19);Guo;JAMA Cardiol,2020

Cited by 170 articles. 订阅此论文施引文献 订阅此论文施引文献,注册后可以免费订阅5篇论文的施引文献,订阅后可以查看论文全部施引文献

同舟云学术

1.学者识别学者识别

2.学术分析学术分析

3.人才评估人才评估

"同舟云学术"是以全球学者为主线,采集、加工和组织学术论文而形成的新型学术文献查询和分析系统,可以对全球学者进行文献检索和人才价值评估。用户可以通过关注某些学科领域的顶尖人物而持续追踪该领域的学科进展和研究前沿。经过近期的数据扩容,当前同舟云学术共收录了国内外主流学术期刊6万余种,收集的期刊论文及会议论文总量共计约1.5亿篇,并以每天添加12000余篇中外论文的速度递增。我们也可以为用户提供个性化、定制化的学者数据。欢迎来电咨询!咨询电话:010-8811{复制后删除}0370

www.globalauthorid.com

TOP

Copyright © 2019-2024 北京同舟云网络信息技术有限公司
京公网安备11010802033243号  京ICP备18003416号-3