Long COVID-19 Pulmonary Sequelae and Management Considerations

The human coronavirus 2019 disease (COVID-19) and the associated acute respiratory distress syndrome (ARDS) are responsible for the worst global health crisis of the last century. Similarly, to previous coronaviruses leading to past pandemics, including severe acute respiratory syndrome (SARS) and m...

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Main Authors: Afroditi K. Boutou, Andreas Asimakos, Eleni Kortianou, Ioannis Vogiatzis, Argyris Tzouvelekis
Format: Article
Language:English
Published: MDPI AG 2021-08-01
Series:Journal of Personalized Medicine
Subjects:
Online Access:https://www.mdpi.com/2075-4426/11/9/838
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author Afroditi K. Boutou
Andreas Asimakos
Eleni Kortianou
Ioannis Vogiatzis
Argyris Tzouvelekis
author_facet Afroditi K. Boutou
Andreas Asimakos
Eleni Kortianou
Ioannis Vogiatzis
Argyris Tzouvelekis
author_sort Afroditi K. Boutou
collection DOAJ
description The human coronavirus 2019 disease (COVID-19) and the associated acute respiratory distress syndrome (ARDS) are responsible for the worst global health crisis of the last century. Similarly, to previous coronaviruses leading to past pandemics, including severe acute respiratory syndrome (SARS) and middle east respiratory syndrome (MERS), a growing body of evidence support that a substantial minority of patients surviving the acute phase of the disease present with long-term sequelae lasting for up to 6 months following acute infection. The clinical spectrum of these manifestations is widespread across multiple organs and consists of the long-COVID-19 syndrome. The aim of the current review is to summarize the current state of knowledge on the pulmonary manifestations of the long COVID-19 syndrome including clinical symptoms, parenchymal, and functional abnormalities, as well as highlight epidemiology, risk factors, and follow-up strategies for early identification and timely therapeutic interventions. The literature data on management considerations including the role of corticosteroids and antifibrotic treatment, as well as the therapeutic potential of a structured and personalized pulmonary rehabilitation program are detailed and discussed.
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spelling doaj.art-3a79e55ed6a24694ba88dd73fb5012552023-11-22T13:49:52ZengMDPI AGJournal of Personalized Medicine2075-44262021-08-0111983810.3390/jpm11090838Long COVID-19 Pulmonary Sequelae and Management ConsiderationsAfroditi K. Boutou0Andreas Asimakos1Eleni Kortianou2Ioannis Vogiatzis3Argyris Tzouvelekis4Department of Respiratory Medicine, “G. Papanikolaou” Hospital, 57010 Thessaloniki, GreeceCritical Care Department and Pulmonary Unit, Evangelismos Hospital, Medical School, National and Kapodistrian University of Athens, 10676 Athens, GreecePhysiotherapy Department, University of Thessaly, 35100 Lamia, GreeceDepartment of Sport, Exercise and Rehabilitation, Northumbria University, Newcastle NE1 8ST, UKDepartment of Respiratory Medicine, University Hospital of Patras, 26504 Patras, GreeceThe human coronavirus 2019 disease (COVID-19) and the associated acute respiratory distress syndrome (ARDS) are responsible for the worst global health crisis of the last century. Similarly, to previous coronaviruses leading to past pandemics, including severe acute respiratory syndrome (SARS) and middle east respiratory syndrome (MERS), a growing body of evidence support that a substantial minority of patients surviving the acute phase of the disease present with long-term sequelae lasting for up to 6 months following acute infection. The clinical spectrum of these manifestations is widespread across multiple organs and consists of the long-COVID-19 syndrome. The aim of the current review is to summarize the current state of knowledge on the pulmonary manifestations of the long COVID-19 syndrome including clinical symptoms, parenchymal, and functional abnormalities, as well as highlight epidemiology, risk factors, and follow-up strategies for early identification and timely therapeutic interventions. The literature data on management considerations including the role of corticosteroids and antifibrotic treatment, as well as the therapeutic potential of a structured and personalized pulmonary rehabilitation program are detailed and discussed.https://www.mdpi.com/2075-4426/11/9/838Post-COVID sequelaeparenchymal abnormalitiesfunctional limitationrehabilitation
spellingShingle Afroditi K. Boutou
Andreas Asimakos
Eleni Kortianou
Ioannis Vogiatzis
Argyris Tzouvelekis
Long COVID-19 Pulmonary Sequelae and Management Considerations
Journal of Personalized Medicine
Post-COVID sequelae
parenchymal abnormalities
functional limitation
rehabilitation
title Long COVID-19 Pulmonary Sequelae and Management Considerations
title_full Long COVID-19 Pulmonary Sequelae and Management Considerations
title_fullStr Long COVID-19 Pulmonary Sequelae and Management Considerations
title_full_unstemmed Long COVID-19 Pulmonary Sequelae and Management Considerations
title_short Long COVID-19 Pulmonary Sequelae and Management Considerations
title_sort long covid 19 pulmonary sequelae and management considerations
topic Post-COVID sequelae
parenchymal abnormalities
functional limitation
rehabilitation
url https://www.mdpi.com/2075-4426/11/9/838
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AT ioannisvogiatzis longcovid19pulmonarysequelaeandmanagementconsiderations
AT argyristzouvelekis longcovid19pulmonarysequelaeandmanagementconsiderations