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- Title
A cardiovascularis rehabilitáció fôbb sajátosságai posztakut Covid-19-ben.
- Authors
ZOLTÁN, JENEI; JUDIT, HORVÁTH
- Abstract
The COVID-19 pandemic caused by SARSCoV-2 is a significant challenge worldwide. Cornerstones of in-patient management of this pandemic which harms predominantly the respiratory system are the acute and intensive care. However, the rehabilitation plays a key role in improving the functional status and quality of life of survivors and reducing the impact of complications. As estimated, 40-50% of discharged patients require some form of medical support and 4-5% of them require inpatient rehabilitation. In addition to the respiratory system involvement, cardiovascular effects caused by COVID-19 (heart failure and myocarditis, acute coronary syndrome, arrhythmia, venous thromboembolism) are part of the ongoing systemic inflammatory processes and may affect 7-28% of hospitalized patients and lead to long-term deterioration in quality of life and loss of work capacity. Based on available scientific databases, expert consensus and the recommendations of European professional societies, this summary presents the recommended method, conditions and intensity of post-Covid cardiac rehabilitation including physical training exercises. The summary concerns also the recommended conditions for return to work and sporting activities. Structured exercise training is a very important and low-risk component of cardiac rehabilitation, reducing cardiovascular complications, thromboembolic complications, systemic inflammation and mortality, improving functional recovery and endothelial function. The planning of physical training should be preceded by a complex assessment of patients. Assessments of risk, capacity and function are needed to select the intensity, frequency and mode of individualized training. This should be combined with appropriate secondary preventive medication, monitoring, diet therapy and psychotherapy in accordance with respected principle of gradual progression. Finally, the consensus recommendations suggest that home-based and tele-rehabilitation should play a prominent role, considering the epidemiological and capacity constraints that also affect rehabilitation.
- Subjects
CARDIOVASCULAR disease prevention; ENDOTHELIUM physiology; DISEASE relapse prevention; THROMBOEMBOLISM prevention; SPORTS participation; TELEREHABILITATION; COVID-19; VEINS; FUNCTIONAL status; CONVALESCENCE; HOME rehabilitation; SYSTEMIC inflammatory response syndrome; INDIVIDUALIZED medicine; SUBACUTE care; RISK assessment; FUNCTIONAL assessment; DIET therapy; CARDIAC rehabilitation; DRUG therapy; QUALITY of life; EMPLOYMENT reentry; DEATH; EXERCISE therapy; PSYCHOTHERAPY
- Publication
Lege Artis Medicine (LAM), 2022, Vol 32, Issue 1/2, p23
- ISSN
0866-4811
- Publication type
Article
- DOI
10.33616/lam.32.002