Casos y Revisiones de Salud,
Год журнала:
2024,
Номер
6(2), С. 17 - 44
Опубликована: Дек. 27, 2024
Introducción.
El
síndrome
de
la
COVID-19
largo
(COVID-L)
se
define
comúnmente
como
persistencia
signos
y
síntomas
que
continúan
o
desarrollan
durante
más
4
semanas
después
del
diagnóstico
agudo
COVID-19.
En
este
sentido,
el
disautonomía
(SDISA)
es
una
las
principales
alteraciones
COVID-L,
no
obstante,
desconocemos
frecuencia
tipo
frecuentes
SDISA
secundario
al
ahí
relevancia
llevar
a
cabo
revisión
sistemática.
Objetivo.
Presentar
síntesis
conocimiento
sobre
incidencia
COVID-L.
Método.
Se
llevó
búsqueda
estudios
hasta
8
enero
2024
en
PubMed,
Scopus,
Web
of
Science,
LILACS,
SciELO,
TESIUNAM,
con
siguientes
palabras
clave
estrategia:
(“autonomic
dysfunction”
AND
“COVID-19”)
acorde
recomendaciones
PRISMA-2020.
estimó
los
SDISA.
Resultados.
encontró
desde
4.17%
95.8%,
donde
mayoría
podían
dividirse
cinco
categorías:
cardiovascular,
musculo
esquelético,
neurológico,
respiratorio
gastrointestinal.
Conclusión.
Nuestros
hallazgos
sugieren
diferencias
COVOD-L
está
vinculada
características
socioculturales
población
cada
país
probablemente
determinado
por
factores
epigenéticos.
“All
diseases
originate
in
the
gut.”
Hippocrates
(400
BC)
A
healthy
gut
microbiome
via
gut-brain-axis
elevates
heart
rate
variability
(HRV),
a
general
measure
of
health
and
well-being.
dysbiotic
microbiome,
low
biodiversity
butyrate
producers,
can
alter
tryptophan
metabolism
(ATM)
increase
kynurenine
to
ratio
(KTR)
with
release
proinflammatory
cytokines,
predominantly
TNF-α,
IL-6,
IL-1β.
These
also
characterize
chronic
inflammation,
oxidative
stress,
multitude
diseases.
Also
proposed
is
gut-lung
dysbiosis
concept
consequent
degradation
ACE2
(richest
lungs
gut).
Leaky
(and
lung)
induced
autoantibodies
(AAs)
related
G-protein
coupled
receptors
(GPCRs)
combination
increased
Ang
II
further
potentiate
stress.
The
underappreciated
pathogenic
role
these
on
invading
Candida
hyphae
explored.
efficacy
fecal
transplantation
(FMT)
treating
dementia,
cancer,
autoimmunity
supports
plausibility
success
“FMT-lite”.
This
triple
play
prebiotic
(d-mannose),
probiotic
(bifidobacteria
lactobacilli),
postbiotic
(butyrate)
might
improve
intestinal
barrier
integrity,
oppose
entry
GPCR
antigens
(epitopes),
suppress
inflammatory
cytokine
triad,
balance
IFN-γ
TGF-β,
depress
KTR,
elevate
HRV,
extend
lifespan
its
quality.
BMC Cardiovascular Disorders,
Год журнала:
2025,
Номер
25(1)
Опубликована: Янв. 31, 2025
Abstract
Background
The
association
between
plasma
lipids,
nitric
oxide
(NO)
and
cardiovascular
risk
has
been
well
documented
in
the
literature,
however,
these
outcomes
heart
rate
variability
(HRV)
COVID-19
remains
incipient
as
there
is
no
scientific
evidence
that
investigated
this
outcome.
Objective
Investigate
whether
metabolic
may
be
associated
with
cardiac
autonomic
behavior
arising
from
short-term
HRV
variables
non-hospitalized
mild
post-COVID
individuals.
Methods
This
a
cross-sectional
study.
Individuals
of
both
sexes,
aged
≥
18
years,
who
tested
positive
for
SARS-CoV-2
according
to
RT-PCR
test,
without
need
hospitalization,
were
included.
was
collected
supine
position
at
least
10
min
later
analysis
Kubios
software.
Metabolic
[high
density
lipoprotein
(HDL)
(mg/dL),
cholesterol
triglycerides
(mg/dL)
NO
(µmol/L)]
through
blood
sample.
Results
Seventy-three
individuals
included
(post-COVID
=
32;
control
41).
worse
group
when
compared
(
p
<
0.05).
Cholesterol,
HDL,
showed
significant
correlations
indices.
Regression
models
indicated
triglycerides,
NO,
explain
up
30.3%
variations
certain
indices,
suggesting
an
impact
on
modulation.
Conclusion
There
relationship
COVID-19.
are
16.6%
30.30%
resting
Clinical
trial
number
Not
applicable.
Brain Behavior & Immunity - Health,
Год журнала:
2025,
Номер
unknown, С. 100963 - 100963
Опубликована: Фев. 1, 2025
The
symptom
burden
for
patients
with
Long
COVID-associated
dysautonomia
is
high,
yet
there
are
currently
no
effective
treatments.
Mindfulness
programs
reduce
psychological
and
physical
symptoms
as
well
inflammatory
gene
expression
in
a
variety
of
medical
conditions.
study
aim
was
to
evaluate
the
effect
six-week
mindfulness
program
women
COVID
symptoms.
Using
single
arm,
pre-
posttest
design,
aged
18-54
years
orthostatic
intolerance
suggestive
were
recruited
from
center.
Participants
attended
standardized,
six-week,
virtual
program.
An
active
stand
test
6-min
walk
(6MWT)
performed
at
baseline
post-intervention.
Self-reported
measures
mental
health
collected
baseline,
post-intervention
4
week
follow
up
included
composite
autonomic
score
(COMPASS-31),
perceived
stress
(PSS),
anxiety
(GAD7),
depression
(PHQ8),
COVID-19
event
specific
distress
(IES-R),
fatigue
(FSI),
sleep
(ISI),
well-being
(MHC-SF),
resilience
(CD-RISC
10),
quality
life
(SF-20).
effects
on
conserved
transcriptional
response
adversity
(CTRA)
examined
by
next-generation
sequencing
dried
whole
blood
samples.
Twenty
participants
enrolled
mean
age
39.9
(range
21-52
years).
No
significant
changes
observed
or
6MWT.
A
reduction
insomnia
severity
(ISI:
16.6
vs.
13.6;
p
=
0.001)
post-intervention,
but
scores
reverted
toward
levels
4-week
follow-up.
improvements
seen
symptoms,
anxiety,
stress,
depression,
well-being,
related
distress.
Pro-inflammatory
CTRA
decreased
significantly
pre-to
(p
0.004).
Declines
most
among
those
3
positive
events
0.01),
followed
2
0.04)
1
0.05).
did
not
vary
function
recent
illness,
hospitalization,
demographic
characteristics,
general
history.
virtual,
may
improve
dysautonomia.
While
objective
improvement
observed,
our
findings
suggest
favorable
intervention
antiviral
biology
decrease
expression.
Nonetheless,
this
population
very
more
attention
needed
provide
multi-modal
clinical
therapies
population.
Current Problems in Cardiology,
Год журнала:
2024,
Номер
49(9), С. 102732 - 102732
Опубликована: Июль 1, 2024
Long-COVID-19
syndrome
(LCS)
exhibits
neurological
problems
such
as
peripheral
neuropathy
and
autonomic
nervous
system
(ANS)
dysfunction.
Exercise
intolerance
and,
consequently,
low
cardiorespiratory
fitness
(CRF)
are
some
of
the
most
common
symptoms
LCS.
We
describe
a
series
individuals
exhibiting
LCS
compared
to
control
group
posit
that
this
condition
may
be
related
exercise
capacity-mediated
disruption
ANS
resulting
particularly
in
intolerance.
Open Forum Infectious Diseases,
Год журнала:
2024,
Номер
11(9)
Опубликована: Авг. 27, 2024
Abstract
While
the
acute
manifestations
of
infectious
diseases
are
well
known,
in
some
individuals,
symptoms
can
either
persist
or
appear
after
period.
Postviral
fatigue
syndromes
recognized
with
other
viral
infections
and
described
coronavirus
disease
2019
(COVID-19).
We
have
a
growing
number
individuals
that
for
weeks,
months,
years.
Here,
we
share
evidence
regarding
abnormalities
associated
postacute
sequelae
COVID-19
(PASC)
therapeutics.
describe
physiological
biochemical
seen
reporting
PASC.
several
evidence-based
interventions
to
offer
patients.
It
is
expected
this
understanding
mechanisms
driving
PASC
benefits
certain
therapeutics
may
not
only
lead
better
outcomes
those
but
also
potential
treating
postinfectious
sequelae.
Cardiopulmonary Physical Therapy Journal,
Год журнала:
2024,
Номер
unknown
Опубликована: Дек. 3, 2024
Purpose:
Heart
rate
variability
(HRV)
has
been
used
for
decades
as
a
tool
measuring
systemic
health
through
the
autonomic
nervous
system
(ANS).
The
purpose
of
this
paper
was
to
examine
literature
on
HRV
and
investigate
its
use
in
long
COVID
(LC)
population.
Summary
Key
Points:
Measurement
devices
vary
significantly
their
validity
reliability
when
compared
with
gold
standard
electrocardiogram
(ECG).
Wrist
hand
typically
demonstrate
diminished
capturing
signal,
while
chest
strap
often
exhibit
high
validity.
Lack
transparency
third-party
software
clean
analyze
data
makes
assessment
accuracy
problematic.
This
is
particular
concern
single
beat
miscalculations
can
result
dissimilar
output.
conditions
under
which
are
collected,
such
natural
or
paced
breathing,
activity
intensity,
patient
position,
dramatically
affect
readings.
While
some
individual
metrics
have
consistently
shown
reflect
certain
components
ANS,
high-frequency
power
measure
parasympathetic
function,
meaning
other
less
clear.
Recommendations
Clinical
Practice:
be
an
extraordinarily
valuable
function.
However,
it
recommended
that
clinicians
judicious
interpretation
HRV,
considering
inconsistencies
presentation.
particularly
true
LC,
where
varies
greatly.
In
all
populations,
should
consider
using
valid
assess
trends
values
over
time,
along
consideration
unique
physical
conditions.
“All
diseases
originate
in
the
gut.”
Hippocrates
(400
BC)
A
healthy
gut
microbiome
via
gut-brain-axis
(GBA)
elevates
heart
rate
variability
(HRV),
a
general
measure
of
health
and
well-being.
dysbiotic
microbiome,
low
biodiversity
butyrate
producers,
triggers
altered
tryptophan
metabolism
release
proinflammatory
cytokines,
predominantly
TNF-α,
IL-6,
IL-1β,
that
also
characterize
chronic
inflammation,
oxidative
stress,
multitude
diseases,
all
exhibiting
HRV.
Gut
dysbiosis
upregulates
IFN-γ
with
it
IDO
(indoleamine
2,3
dioxygenase).
Tryptophan
pivots
from
serotonin
synthesis
to
kynurenine,
increasing
kynurenine
ratio
(KTR).
An
elevated
KTR
is
positively
linked
neurodegenerative
autoimmune
negatively
Elevated
activity
not
only
enzymatic
but
an
intracellular
signal
transducer
potentiated
by
TGF-β.
This
cytokine
primary
determinant
TME.
The
triple
play
prebiotic
(d-mannose),
probiotic
(bifidobacteria
lactobacilli),
postbiotic
(butyrate)
might
improve
intestinal
barrier
integrity,
suppress
inflammatory
triad,
balance
TGF-β,
depress
KTR,
elevate
HRV,
extend
lifespan.
Scientific Reports,
Год журнала:
2024,
Номер
14(1)
Опубликована: Дек. 28, 2024
Abstract
This
study
investigated
the
impact
of
mild
COVID-19
on
HRV
in
groups
stratified
by
time
after
infection
and
to
compare
a
healthy
group
same
age
without
previous
virus
need
hospitalization.
is
cross-sectional
study.
We
divided
sample
into
four
groups:
control
(CG)
(
n
=
31),
1
(G1):
≤6
weeks
34),
2
(G2):
2–6
months
30),
3
(G3):
7–12
35)
infection.
For
analysis,
we
used
indices
linear
(time
frequency
domain)
non-linear
analysis.
comparisons
between
groups,
ANOVA
one
way
test
or
Kruskal–Wallis
was
according
data
distribution.
The
effect
size
calculated
based
Cohen’s
d
η
.
Simple
multiple
regressions
were
performed
investigate
interaction
clinical
outcomes
parameters.
A
total
130
individuals
included.
Groups
G1
G2
showed
less
parasympathetic
modulation
when
compared
CG
p
<
0.05),
while
G3
an
increase
0.05).
Moderate
large
sizes
found
Cohen
regression
models
identified
duration
as
significant
predictors
for
RMSSD
(adjusted
R
0.227)
SD1
0.242),
SDNN
0.213).
BMI,
hypertension,
dyslipidemia
non-significant
all
models.
HF
(n.u.),
consistently
significant,
with
stress
emerging
predictor
Model
0.143).
recovery
since
diagnosis
influences
from
HRV,
suggesting
transient
disease
autonomic
nervous
system.