Long COVID: Advocating for Patients and Implementing Effective Techniques

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Long COVID: Advocating for Patients and Implementing Effective Techniques
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Kyle B. Enfield, MD, MS, FSHEA, FCCM

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References

1. Lutchmansingh DD et al. Semin Respir Crit Care Med. 2023;44(1):130-142. doi:10.1055/s-0042-1759568
2. Davis HE et al. Nat Rev Microbiol. 2023;21(3):133-146. doi:10.1038/s41579-022-00846-2
3. Ahmed H et al. J Rehabil Med. 2020;52(5):jrm00063. doi:10.2340/16501977-2694
4. Resources. Long COVID Physio. Accessed May 31, 2023. https://longcovid.physio/resources
5. Long COVID: What do the latest data show? KFF. Published January 26, 2023. Accessed May 31, 2023. https://www.kff.org/policy-watch/long-covid-what-do-latest-data-show/
6. Castanares-Zapatero D et al. Ann Med. 2022;54(1):1473-1487. doi:10.1080/07853890.2022.2076901
7. Mehandru S, Merad M. Nat Immunol. 2022;23(2):194-202. doi:10.1038/s41590-021-01104-y
8. Dhooria S et al. Eur Respir J. 2022;59(2):2102930. doi:10.1183/13993003.02930-2021
9. Researching COVID to enhance recovery. RECOVER. Accessed May 31, 2023. https://recovercovid.org/

Author and Disclosure Information

Kyle B. Enfield, MD, MS, FSHEA, FCCM
Associate Professor of Medicine
Vice Chair, Quality Improvement and Patient Safety
University of Virginia;
Associate Chief Medical Officer, Critical Care
Department of Medicine
University of Virginia Health System
Charlottesville, VA

Publications
MDedge Internal Medicine
CHEST Physician
Topics
Long COVID
Author(s)
Kyle B. Enfield, MD, MS, FSHEA, FCCM
Author(s)
Kyle B. Enfield, MD, MS, FSHEA, FCCM
Author and Disclosure Information

Kyle B. Enfield, MD, MS, FSHEA, FCCM
Associate Professor of Medicine
Vice Chair, Quality Improvement and Patient Safety
University of Virginia;
Associate Chief Medical Officer, Critical Care
Department of Medicine
University of Virginia Health System
Charlottesville, VA

Author and Disclosure Information

Kyle B. Enfield, MD, MS, FSHEA, FCCM
Associate Professor of Medicine
Vice Chair, Quality Improvement and Patient Safety
University of Virginia;
Associate Chief Medical Officer, Critical Care
Department of Medicine
University of Virginia Health System
Charlottesville, VA

Click to view more from Pulmonology Data Trends 2023.

Click to view more from Pulmonology Data Trends 2023.

References

1. Lutchmansingh DD et al. Semin Respir Crit Care Med. 2023;44(1):130-142. doi:10.1055/s-0042-1759568
2. Davis HE et al. Nat Rev Microbiol. 2023;21(3):133-146. doi:10.1038/s41579-022-00846-2
3. Ahmed H et al. J Rehabil Med. 2020;52(5):jrm00063. doi:10.2340/16501977-2694
4. Resources. Long COVID Physio. Accessed May 31, 2023. https://longcovid.physio/resources
5. Long COVID: What do the latest data show? KFF. Published January 26, 2023. Accessed May 31, 2023. https://www.kff.org/policy-watch/long-covid-what-do-latest-data-show/
6. Castanares-Zapatero D et al. Ann Med. 2022;54(1):1473-1487. doi:10.1080/07853890.2022.2076901
7. Mehandru S, Merad M. Nat Immunol. 2022;23(2):194-202. doi:10.1038/s41590-021-01104-y
8. Dhooria S et al. Eur Respir J. 2022;59(2):2102930. doi:10.1183/13993003.02930-2021
9. Researching COVID to enhance recovery. RECOVER. Accessed May 31, 2023. https://recovercovid.org/

References

1. Lutchmansingh DD et al. Semin Respir Crit Care Med. 2023;44(1):130-142. doi:10.1055/s-0042-1759568
2. Davis HE et al. Nat Rev Microbiol. 2023;21(3):133-146. doi:10.1038/s41579-022-00846-2
3. Ahmed H et al. J Rehabil Med. 2020;52(5):jrm00063. doi:10.2340/16501977-2694
4. Resources. Long COVID Physio. Accessed May 31, 2023. https://longcovid.physio/resources
5. Long COVID: What do the latest data show? KFF. Published January 26, 2023. Accessed May 31, 2023. https://www.kff.org/policy-watch/long-covid-what-do-latest-data-show/
6. Castanares-Zapatero D et al. Ann Med. 2022;54(1):1473-1487. doi:10.1080/07853890.2022.2076901
7. Mehandru S, Merad M. Nat Immunol. 2022;23(2):194-202. doi:10.1038/s41590-021-01104-y
8. Dhooria S et al. Eur Respir J. 2022;59(2):2102930. doi:10.1183/13993003.02930-2021
9. Researching COVID to enhance recovery. RECOVER. Accessed May 31, 2023. https://recovercovid.org/

Publications
MDedge Internal Medicine
CHEST Physician
Publications
MDedge Internal Medicine
CHEST Physician
Topics
Long COVID
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Long COVID: Advocating for Patients and Implementing Effective Techniques
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While definitions of postacute sequelae of SARS-CoV-2 (PASC), commonly referred to as long COVID, are heterogeneous, it is internationally recognized that some patients have symptoms that persist after recovery from their acute illness.1,2 Most clinicians agree that this disease manifestation begins at around 60 to 90 days after original COVID-19 infection, based on the World Health Organization (WHO) definition.1 Long COVID has similarities to postviral infections seen in SARS, MERS, Ebola, and West Nile virus.1,3 Theories on its potential cause include ongoing inflammation and autoimmunity, among other theories.1,2

Currently, no FDA-approved treatments are available for long COVID and most patients are receiving variable care with off-label use of drugs.1 Multiple clinical trials are in early stages. Certain nonpharmacological approaches have been effective for 2 common lingering long COVID symptoms: exercise intolerance and fatigue.4 These techniques provide patients with tips to help manage decreased energy levels and provide breathing exercises for patients experiencing exercise intolerance.4

Long COVID is a challenge for the medical community, but progress is being made in pinpointing causes, effective treatments, and techniques to help people who continue to have symptoms after having had COVID-19.1,4

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