There are many effects of Covid, especially on the heart. Chest pain, heart palpitations and changes in heart rhythm, as well as fatigue and difficulty breathing are a problem for 10-30% of infected patients, even 4 months or more after the infection has cleared. There is a long cardiovascular only Covid, labeled with the term Pasc (Post Acute Sequelae from Sars-Cov-2) by experts of the American College of Cardiology, which has just published a consensus document in the ‘Journal of the American College of Cardiology’ pointing to the way We must cut it to face the long Covid at the expense of the heart.
The document should become a guide, which will also be followed on this side of the ocean, emphasizing the experts of the Italian Society of Cardiology (SIC), drawing attention to the opportunity to undergo a correct diagnosis in the presence of cardiovascular symptoms after Covid as well as the importance of using correct physical activity as a means Effective to return to health.
“Long Covid at the cardiovascular level is now identified as Pasc: there are so many cases of patients with cardiovascular involvement after acute infection that a new disease has been identified – explains Ciro Endolfi, SIC President and Professor of Cardiology at the Universidad Magna Graecia di Catanzaro. – We talk about Pasc-Cvd when true cardiovascular disease is identified after diagnostic tests, or about Pasc-Cvs or Paschal syndrome when standard diagnostic tests do not identify a specific cardiovascular disease, but do you have typical symptoms such as tachycardia and intolerance Exercising, chest pain and shortness of breath.”
“Unfortunately, there appears to be a ‘downward spiral’ in prolonged Covid-19, as defined by American colleagues – and continues – fatigue and reduced ability to exercise lead to decreased activity and bed rest, which in turn worsen symptoms and lower quality of life.”
“Cardiac consultation is recommended for patients with Pasc and abnormal cardiac test results, in those with known cardiovascular disease with new or worsening symptoms, if the patient has documented cardiac complications while on Sars-CoV-2 or cardiopulmonary symptoms.” Ongoing is not otherwise explained – the expert resumes – in the presence of Basque syndrome, and therefore no heart disease, but there are symptoms such as tachycardia or a decrease in training ability compared to before the injury, exercise in a supine or semi-recumbent position, such as cycling Or swimming or rowing, it is recommended at first, then move to a standing exercise where the ability to stand without whistling improves.It should be short at first (5-10 minutes a day), with gradual increases as functional ability improves.And also salt intake and fluids to reduce symptoms such as tachycardia, palpitations, and orthostatic hypotension; in some cases, the doctor may prescribe beta-blockers, non-dihydropyridine calcium channel blockers, ivabradine, fludrocortisone and midodrine.”
“The important thing is not to neglect cardiovascular signs and symptoms – recommends Pasquale Peroni Velardi, President-elect and Professor of Cardiology at Federico II University of Naples – that appear or persist 4 or more weeks after recovery from Covid-19.”
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