Post-Acute Sequelae of COVID-19 and Cardiovascular Autonomic Dysfunction: What Do We Know?

Post-acute sequelae of SARS-CoV-2 (PASC), or long COVID syndrome, is emerging as a major health issue in patients with previous SARS-CoV-2 infection. Symptoms commonly experienced by patients include fatigue, palpitations, chest pain, dyspnea, reduced exercise tolerance, and “brain fog”. Additionall...

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Autores principales: Giandomenico Bisaccia, Fabrizio Ricci, Vittoria Recce, Antonio Serio, Giovanni Iannetti, Anwar A. Chahal, Marcus Ståhlberg, Mohammed Yunus Khanji, Artur Fedorowski, Sabina Gallina
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Lenguaje:EN
Publicado: MDPI AG 2021
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Acceso en línea:https://doaj.org/article/51097f81f94f49ecbbb4ac2d0552e55a
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spelling oai:doaj.org-article:51097f81f94f49ecbbb4ac2d0552e55a2021-11-25T18:00:25ZPost-Acute Sequelae of COVID-19 and Cardiovascular Autonomic Dysfunction: What Do We Know?10.3390/jcdd81101562308-3425https://doaj.org/article/51097f81f94f49ecbbb4ac2d0552e55a2021-11-01T00:00:00Zhttps://www.mdpi.com/2308-3425/8/11/156https://doaj.org/toc/2308-3425Post-acute sequelae of SARS-CoV-2 (PASC), or long COVID syndrome, is emerging as a major health issue in patients with previous SARS-CoV-2 infection. Symptoms commonly experienced by patients include fatigue, palpitations, chest pain, dyspnea, reduced exercise tolerance, and “brain fog”. Additionally, symptoms of orthostatic intolerance and syncope suggest the involvement of the autonomic nervous system. Signs of cardiovascular autonomic dysfunction appear to be common in PASC and are similar to those observed in postural orthostatic tachycardia syndrome and inappropriate sinus tachycardia. In this review, we report on the epidemiology of PASC, discuss current evidence and possible mechanisms underpinning the dysregulation of the autonomic nervous system, and suggest nonpharmacological and pharmacological interventions to treat and relieve symptoms of PASC-associated dysautonomia.Giandomenico BisacciaFabrizio RicciVittoria RecceAntonio SerioGiovanni IannettiAnwar A. ChahalMarcus StåhlbergMohammed Yunus KhanjiArtur FedorowskiSabina GallinaMDPI AGarticleCOVID-19cardiovascular autonomic dysfunctionlong COVID syndromePASCpostural orthostatic tachycardiapost-acute sequelaeDiseases of the circulatory (Cardiovascular) systemRC666-701ENJournal of Cardiovascular Development and Disease, Vol 8, Iss 156, p 156 (2021)
institution DOAJ
collection DOAJ
language EN
topic COVID-19
cardiovascular autonomic dysfunction
long COVID syndrome
PASC
postural orthostatic tachycardia
post-acute sequelae
Diseases of the circulatory (Cardiovascular) system
RC666-701
spellingShingle COVID-19
cardiovascular autonomic dysfunction
long COVID syndrome
PASC
postural orthostatic tachycardia
post-acute sequelae
Diseases of the circulatory (Cardiovascular) system
RC666-701
Giandomenico Bisaccia
Fabrizio Ricci
Vittoria Recce
Antonio Serio
Giovanni Iannetti
Anwar A. Chahal
Marcus Ståhlberg
Mohammed Yunus Khanji
Artur Fedorowski
Sabina Gallina
Post-Acute Sequelae of COVID-19 and Cardiovascular Autonomic Dysfunction: What Do We Know?
description Post-acute sequelae of SARS-CoV-2 (PASC), or long COVID syndrome, is emerging as a major health issue in patients with previous SARS-CoV-2 infection. Symptoms commonly experienced by patients include fatigue, palpitations, chest pain, dyspnea, reduced exercise tolerance, and “brain fog”. Additionally, symptoms of orthostatic intolerance and syncope suggest the involvement of the autonomic nervous system. Signs of cardiovascular autonomic dysfunction appear to be common in PASC and are similar to those observed in postural orthostatic tachycardia syndrome and inappropriate sinus tachycardia. In this review, we report on the epidemiology of PASC, discuss current evidence and possible mechanisms underpinning the dysregulation of the autonomic nervous system, and suggest nonpharmacological and pharmacological interventions to treat and relieve symptoms of PASC-associated dysautonomia.
format article
author Giandomenico Bisaccia
Fabrizio Ricci
Vittoria Recce
Antonio Serio
Giovanni Iannetti
Anwar A. Chahal
Marcus Ståhlberg
Mohammed Yunus Khanji
Artur Fedorowski
Sabina Gallina
author_facet Giandomenico Bisaccia
Fabrizio Ricci
Vittoria Recce
Antonio Serio
Giovanni Iannetti
Anwar A. Chahal
Marcus Ståhlberg
Mohammed Yunus Khanji
Artur Fedorowski
Sabina Gallina
author_sort Giandomenico Bisaccia
title Post-Acute Sequelae of COVID-19 and Cardiovascular Autonomic Dysfunction: What Do We Know?
title_short Post-Acute Sequelae of COVID-19 and Cardiovascular Autonomic Dysfunction: What Do We Know?
title_full Post-Acute Sequelae of COVID-19 and Cardiovascular Autonomic Dysfunction: What Do We Know?
title_fullStr Post-Acute Sequelae of COVID-19 and Cardiovascular Autonomic Dysfunction: What Do We Know?
title_full_unstemmed Post-Acute Sequelae of COVID-19 and Cardiovascular Autonomic Dysfunction: What Do We Know?
title_sort post-acute sequelae of covid-19 and cardiovascular autonomic dysfunction: what do we know?
publisher MDPI AG
publishDate 2021
url https://doaj.org/article/51097f81f94f49ecbbb4ac2d0552e55a
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