☆ 4.7 Review

Long COVID: post-acute sequelae of COVID-19 with a cardiovascular focus

EUROPEAN HEART JOURNAL (2022)

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Gianluigi Dorelli et al.

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Luigi Di Filippo et al.

Summary: COVID-19 survivors may experience unintentional weight loss and malnutrition, with disease duration independently predicting weight loss. Nutritional evaluation, counseling, and treatment should be considered throughout the course of the disease and after clinical remission.

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Physical, cognitive, and mental health impacts of COVID-19 after hospitalisation (PHOSP-COVID): a UK multicentre, prospective cohort study

Rachael A. Evans et al.

Summary: The study aimed to understand the impact of COVID-19-related hospitalization on health and employment, identify factors associated with recovery, and describe recovery phenotypes. Findings revealed that some patients did not fully recover six months after discharge, with factors such as female sex, middle age, comorbidities, and severe illness contributing to difficulties in recovery. The study also identified four different recovery phenotypes.

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Deconditioning as main mechanism of impaired exercise response in COVID-19 survivors

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EUROPEAN RESPIRATORY JOURNAL (2021)

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The high mental health burden of Long COVID and its association with on-going physical and respiratory symptoms in all adults discharged from hospital

Sindhu B. Naidu et al.

EUROPEAN RESPIRATORY JOURNAL (2021)

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Use of Cardiopulmonary Stress Testing for Patients With Unexplained Dyspnea Post-Coronavirus Disease

Donna M. Mancini et al.

Summary: The study showed that circulatory impairment, abnormal ventilatory pattern, and ME/CFS are common in patients with PASC. Dysfunctional breathing, resting hypocapnia, and ME/CFS may contribute to symptoms. CPET is a valuable tool for assessing these patients.

JACC-HEART FAILURE (2021)

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Article Immunology

Postural orthostatic tachycardia syndrome (POTS) and other autonomic disorders after COVID-19 infection: a case series of 20 patients

Svetlana Blitshteyn et al.

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Effect of Intermediate-Dose vs Standard-Dose Prophylactic Anticoagulation on Thrombotic Events, Extracorporeal Membrane Oxygenation Treatment, or Mortality Among Patients With COVID-19 Admitted to the Intensive Care Unit The INSPIRATION Randomized Clinical Trial

Parham Sadeghipour et al.

Summary: This study compared the effect of intermediate-dose and standard prophylactic anticoagulation on a composite outcome among COVID-19 patients admitted to the ICU. The results showed no significant difference between the two groups in terms of thrombotic events, ECMO therapy, or mortality within 30 days. The study does not recommend routine use of intermediate-dose prophylactic anticoagulation in unselected ICU patients with COVID-19.

JAMA-JOURNAL OF THE AMERICAN MEDICAL ASSOCIATION (2021)

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Impact of COVID-19 on exercise pathophysiology: a combined cardiopulmonary and echocardiographic exercise study

Claudia Baratto et al.

Summary: At the time of hospital discharge, patients with COVID-19 present with reduced functional capacity and exercise hyperventilation. Peripheral factors, namely reduced oxygen extraction (myopathy) and anemia, which are not fully compensated by a supernormal cardiac output response, account for exercise limitation before exhaustion of the respiratory reserve. Enhanced chemoreflex sensitivity, rather increased dead space, mainly accounts for exercise hyperventilation. The pulmonary vascular response to exercise circulation of survived patients with COVID-19 does not present major pathological changes.

JOURNAL OF APPLIED PHYSIOLOGY (2021)

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Impact and effectiveness of mRNA BNT162b2 vaccine against SARS-CoV-2 infections and COVID-19 cases, hospitalisations, and deaths following a nationwide vaccination campaign in Israel: an observational study using national surveillance data

Eric J. Haas et al.

Summary: This study assessed the real-world effectiveness of the Pfizer-BioNTech mRNA COVID-19 vaccine BNT162b2 in Israel, showing high efficacy in preventing SARS-CoV-2 infections, hospitalizations, severe disease, and death. As vaccine coverage increased, there were marked declines in SARS-CoV-2 outcomes, indicating that COVID-19 vaccination can help control the pandemic.

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Post-acute effects of SARS-CoV-2 infection in individuals not requiring hospital admission: a Danish population-based cohort study

Lars Christian Lund et al.

Summary: This study examined prescription drug and healthcare utilization among individuals in Denmark who tested positive for SARS-CoV-2 but did not require hospital admission. The study found that these individuals had a low risk of severe post-acute complications, but showed increases in visits to general practitioners and outpatient hospital visits, indicating potential COVID-19 sequelae.

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Prevalence of Long COVID symptoms in Bangladesh: a prospective Inception Cohort Study of COVID-19 survivors

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Summary: The study identified a 16.1% prevalence of long COVID symptoms among a large cohort of individuals in Bangladesh, with fatigue, pain, and dyspnea being the most prominent symptoms. The duration of long COVID symptoms was influenced by factors such as younger age, female gender, rural residence, prior functional limitation, and smoking. Further research is needed to understand and address the risk factors associated with long COVID symptoms.

BMJ GLOBAL HEALTH (2021)

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Diverse functional autoantibodies in patients with COVID-19

Eric Y. Wang et al.

Summary: COVID-19 patients show increased autoantibody reactivities against immunomodulatory proteins, which may affect immune function and lead to different clinical outcomes.

NATURE (2021)

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High-dimensional characterization of post-acute sequelae of COVID-19

Ziyad Al-Aly et al.

Summary: This study comprehensively describes the post-acute sequelae of COVID-19 using national healthcare databases, finding increased risk of death and use of health resources beyond the first 30 days of illness, as well as incident sequelae in various organ systems, increased use of therapeutic agents, and evidence of laboratory abnormalities. The findings show a risk gradient according to the severity of acute COVID-19 infection and highlight the burden of health loss experienced by patients who survive the acute phase.

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Article Biochemistry & Molecular Biology

Initial report of decreased SARS-CoV-2 viral load after inoculation with the BNT162b2 vaccine

Matan Levine-Tiefenbrun et al.

Summary: COVID-19 vaccines not only provide protection to individual vaccinees, but may also reduce viral load in breakthrough infections, potentially leading to lower infectiousness and further suppressing virus spread.

NATURE MEDICINE (2021)

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Review Biochemistry & Molecular Biology

Post-acute COVID-19 syndrome

Ani Nalbandian et al.

Summary: SARS-CoV-2 is responsible for the COVID-19 pandemic, causing global healthcare crises. Recovery from COVID-19 may lead to persistent symptoms and long-term complications, prompting the need for multidisciplinary care and follow-up for survivors.

NATURE MEDICINE (2021)

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Article Medicine, General & Internal

Thrombotic Thrombocytopenia after ChAdOx1 nCov-19 Vaccination

Andreas Greinacher et al.

Summary: After vaccination with ChAdOx1 nCov-19, rare immune thrombotic thrombocytopenia can occur due to platelet-activating antibodies against PF4, resulting in various thrombotic events. Most patients in this case series were women, with fatal outcomes such as cerebral venous thrombosis and intracranial hemorrhage. Additional studies are needed to further investigate and understand this phenomenon.

NEW ENGLAND JOURNAL OF MEDICINE (2021)

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Article Medicine, General & Internal

Efficacy of NVX-CoV2373 Covid-19 Vaccine against the B.1.351 Variant

V. Shinde et al.

Summary: The NVX-CoV2373 vaccine showed efficacy in preventing Covid-19, with higher vaccine efficacy observed among HIV-negative participants. Most infections were caused by the B.1.351 variant.

NEW ENGLAND JOURNAL OF MEDICINE (2021)

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Article Orthopedics

Cardiopulmonary Exercise Testing to Assess Persistent Symptoms at 6 Months in People With COVID-19 Who Survived Hospitalization: A Pilot Study

David Debeaumont et al.

Summary: The aim of this pilot study is to evaluate physical fitness and its correlation with functional dyspnea in COVID-19 survivors 6 months post-discharge. Results show that persistent dyspnea is associated with reduced physical fitness, with differences between ICU and general ward patients. Tailored rehabilitation interventions may be beneficial for those with persistent dyspnea.

PHYSICAL THERAPY (2021)

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Article Multidisciplinary Sciences

Post-COVID-19 syndrome among symptomatic COVID-19 patients: A prospective cohort study in a tertiary care center of Bangladesh

Reaz Mahmud et al.

Summary: Female sex, respiratory distress, lethargy, and long disease duration are critical risk factors for the development of post-COVID-19 syndrome. A study conducted at Dhaka Medical College Hospital found that 46% of patients developed post-COVID-19 symptoms, with post-viral fatigue being the most prevalent.

PLOS ONE (2021)

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Article Cardiac & Cardiovascular Systems

Prospective Case-Control Study of Cardiovascular Abnormalities 6 Months Following Mild COVID-19 in Healthcare Workers

George Joy et al.

Summary: This study found that there was no significant difference in the occurrence of cardiovascular abnormalities between seropositive and seronegative healthy healthcare workers 6 months after mild COVID-19 infection.

JACC-CARDIOVASCULAR IMAGING (2021)

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Article Pharmacology & Pharmacy

Post COVID-19 sequelae: A prospective observational study from Northern India

Shivdas Naik et al.

Summary: Post COVID-19 sequelae, including long COVID symptoms, were common in the North Indian population, with 9.9% experiencing the post COVID-19 syndrome. Myalgia, fatigue, and shortness of breath were commonly reported symptoms. Risk factors for long COVID sequelae included hypothyroidism and hypoxia during acute illness.

DRUG DISCOVERIES AND THERAPEUTICS (2021)

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Editorial Material Medicine, General & Internal

Fresh evidence of the scale and scope of long covid

Manoj Sivan et al.

BMJ-BRITISH MEDICAL JOURNAL (2021)

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Article Medicine, General & Internal

Post-covid syndrome in individuals admitted to hospital with covid-19: retrospective cohort study

Daniel Ayoubkhani et al.

Summary: Patients discharged from the hospital after COVID-19 were found to have increased rates of multiorgan dysfunction, with higher risk not only limited to the elderly but also varying across ethnic groups.

BMJ-BRITISH MEDICAL JOURNAL (2021)

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Article Medicine, General & Internal

Risk of clinical sequelae after the acute phase of SARS-CoV-2 infection: retrospective cohort study

Sarah E. Daugherty et al.

Summary: The study evaluated the excess risk and relative hazards for developing incident clinical sequelae after the acute phase of SARS-CoV-2 infection in adults aged 18-65. The results show that individuals infected with SARS-CoV-2 may have a higher risk of developing new clinical sequelae after the acute phase compared to the control groups, with some sequelae more commonly seen in other viral illnesses.

BMJ-BRITISH MEDICAL JOURNAL (2021)

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Article Biology

Convalescent COVID-19 patients are susceptible to endothelial dysfunction due to persistent immune activation

Florence W. J. Chioh et al.

Summary: The impact of COVID-19 on vascular health of recovered patients is significant, with elevated levels of circulating endothelial cells indicating vascular injury. The presence of proinflammatory and activated T lymphocyte-associated cytokines suggests cytokine-driven endothelial dysfunction. Effector T cells were more frequent in COVID-19 convalescents, pointing to a possible cytotoxic effector cell targeting of activated endothelial cells.

ELIFE (2021)

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Article Critical Care Medicine

3-month, 6-month, 9-month, and 12-month respiratory outcomes in patients following COVID-19-related hospitalisation: a prospective study

Xiaojun Wu et al.

Summary: Most patients recovering from severe COVID-19 showed improvement in dyspnoea scores and exercise capacity over time, but a subgroup of patients still exhibited persistent physiological and radiographic changes at 12 months post-discharge. A unified pathway for respiratory follow-up is needed for COVID-19 patients.

LANCET RESPIRATORY MEDICINE (2021)

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Letter Cardiac & Cardiovascular Systems

Return-to-Play Guidelines for Athletes After COVID-19 Infection

Diana Santos-Ferreira et al.

JAMA CARDIOLOGY (2021)

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Review Immunology

Comparative systematic review and meta-analysis of reactogenicity, immunogenicity and efficacy of vaccines against SARS-CoV-2

Ian McDonald et al.

Summary: This study provides a comparative evaluation of different vaccine platforms in terms of immunogenicity and efficacy. Vaccines generally result in mild and self-limiting adverse events. Different vaccines show varying levels of immunogenicity and efficacy.

NPJ VACCINES (2021)

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Article Hematology

Incidence of thrombotic complications in hospitalised and non-hospitalised patients after COVID-19 diagnosis

Birgitte Tholin et al.

Summary: Infection with COVID-19 may increase the risk of VTE, but the reported incidence rates of VTE show wide variation. This study found a lower incidence rate of VTE in both hospitalised and non-hospitalised patients after COVID-19 diagnosis, suggesting potential differences in thrombotic complications.

BRITISH JOURNAL OF HAEMATOLOGY (2021)

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Article Cardiac & Cardiovascular Systems

Persistent clotting protein pathology in Long COVID/Post-Acute Sequelae of COVID-19 (PASC) is accompanied by increased levels of antiplasmin

Etheresia Pretorius et al.

Summary: Individuals with Long COVID/PASC may exhibit persistent symptoms due to the presence of persistent circulating plasma microclots that are resistant to fibrinolysis, including fatigue, shortness of breath, sleep issues, and anxiety or depression.

CARDIOVASCULAR DIABETOLOGY (2021)

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Article Cardiac & Cardiovascular Systems

Myocarditis With COVID-19 mRNA Vaccines

Biykem Bozkurt et al.

Summary: Myocarditis is a rare complication of COVID-19 mRNA vaccines, predominantly affecting young adult and adolescent males, with most patients showing improvement in symptoms. Possible mechanisms include molecular mimicry between viral proteins and self-antigens, dysregulated immune pathways, immune response to mRNA, and dysregulated cytokine expression.

CIRCULATION (2021)

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Letter Cardiac & Cardiovascular Systems

Myocarditis After BNT162b2 and mRNA-1273 Vaccination

Kathryn F. Larson et al.

CIRCULATION (2021)

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Article Immunology

Establishing the prevalence of common tissue-specific autoantibodies following severe acute respiratory syndrome coronavirus 2 infection

Alex G. Richter et al.

Summary: The study revealed a higher frequency of autoantibodies associated with SARS-CoV-2 infection in COVID-19 patients, even detectable months post-infection. COVID-19 patients displayed a more restricted pattern of autoantibodies, including skin, skeletal muscle, and cardiac antibodies.

CLINICAL AND EXPERIMENTAL IMMUNOLOGY (2021)

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Article Hematology

Persistent endotheliopathy in the pathogenesis of long COVID syndrome

Helen Fogarty et al.

Summary: The study found that endothelial cell activation may persist in convalescent COVID-19 patients and may contribute to the pathogenesis of long COVID. This sustained endotheliopathy was more common in older, comorbid patients, and those requiring hospitalization, indicating a potential link between endothelial dysfunction and long-term COVID symptoms.

JOURNAL OF THROMBOSIS AND HAEMOSTASIS (2021)

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Article Medicine, General & Internal

Characterisation of in-hospital complications associated with COVID-19 using the ISARIC WHO Clinical Characterisation Protocol UK: a prospective, multicentre cohort study

Thomas M Drake et al.

LANCET (2021)

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Article Medicine, General & Internal

Therapeutic versus prophylactic anticoagulation for patients admitted to hospital with COVID-19 and elevated D-dimer concentration (ACTION): an open-label, multicentre, randomised, controlled trial

Renato D. Lopes et al.

Summary: In hospitalized COVID-19 patients with elevated D-dimer concentration, in-hospital therapeutic anticoagulation with rivaroxaban or enoxaparin followed by rivaroxaban to day 30 did not improve clinical outcomes and increased bleeding compared with prophylactic anticoagulation. Therapeutic-dose rivaroxaban and other direct oral anticoagulants should be avoided in these patients without an evidence-based indication for oral anticoagulation.

LANCET (2021)

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Editorial Material Medicine, General & Internal

Five priorities for universal COVID-19 vaccination Comment

Adrien Abecassis

LANCET (2021)

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Article Medicine, General & Internal

1-year outcomes in hospital survivors with COVID-19: a longitudinal cohort study

Lixue Huang et al.

LANCET (2021)

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Article Medicine, General & Internal

Efficacy and safety of an inactivated whole-virion SARS-CoV-2 vaccine (CoronaVac): interim results of a double-blind, randomised, placebo-controlled, phase 3 trial in Turkey

Mine Durusu Tanriover et al.

Summary: The study presented the interim efficacy and safety results of the CoronaVac vaccine in a phase 3 clinical trial in Turkey, demonstrating high efficacy against PCR-confirmed symptomatic COVID-19 with good safety and tolerability profile. Results showed significant differences in the frequency of any adverse events between the vaccine and placebo groups, indicating excellent protective effects of the vaccine.

LANCET (2021)

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Article Medicine, General & Internal

Thromboembolic Risk in Hospitalized and Nonhospitalized COVID-19 Patients: A Self-Controlled Case Series Analysis of a Nationwide Cohort

Frederick K. Ho et al.

Summary: Confirmed COVID-19 infection was associated with early elevations in risk of MI and ischemic stroke, and substantially stronger and prolonged elevations in risk of DVT and PE, both in hospital and community settings. Thromboembolism, especially PE, should be considered among people with COVID-19 in the community.

MAYO CLINIC PROCEEDINGS (2021)

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Article Biochemistry & Molecular Biology

Long COVID in a prospective cohort of home-isolated patients

Bjorn Blomberg et al.

Summary: An analysis of patients with SARS-CoV-2 infections in Bergen, Norway, revealed that a high proportion of patients experienced long-term COVID symptoms at 6 months, even though they were relatively young and had only mild to moderate acute COVID-19 symptoms. This highlights the significance of infection control measures, such as vaccination.

NATURE MEDICINE (2021)

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Article Medicine, General & Internal

Therapeutic Anticoagulation with Heparin in Noncritically Ill Patients with Covid-19

Patrick R. Lawler et al.

Summary: This study showed that therapeutic-dose anticoagulation with heparin in non-critically ill patients with Covid-19 increased the likelihood of survival to hospital discharge and reduced the need for cardiovascular or respiratory organ support compared to usual-care thromboprophylaxis.

NEW ENGLAND JOURNAL OF MEDICINE (2021)

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Editorial Material Medicine, General & Internal

Confronting Our Next National Health Disaster - Long-Haul Covid

Steven Phillips et al.

Summary: Long Covid could potentially become the next national health disaster, and it is important to address and find solutions for it.

NEW ENGLAND JOURNAL OF MEDICINE (2021)

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Article Medicine, General & Internal

Therapeutic Anticoagulation with Heparin in Critically Ill Patients with Covid-19

Ewan C. Goligher et al.

Summary: In critically ill patients with Covid-19, initial therapeutic-dose anticoagulation did not result in improved survival rates or fewer days requiring cardiovascular or respiratory organ support compared to usual-care pharmacologic thromboprophylaxis.

NEW ENGLAND JOURNAL OF MEDICINE (2021)

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Article Radiology, Nuclear Medicine & Medical Imaging

Pulmonary Embolism in Hospitalized Patients with COVID-19: A Multicenter Study

Sadjad Riyahi et al.

Summary: This study aimed to determine the incidence of PE in patients with COVID-19, revealing that 25% of COVID-19 patients were diagnosed with PE. The study also found that PE was associated with male sex, smoking, as well as increased levels of d-dimer, lactate dehydrogenase, ferritin, and interleukin-6. Additionally, d-dimer levels greater than 1600 ng/mL showed high sensitivity in identifying patients who required CT pulmonary angiography.

RADIOLOGY (2021)

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Editorial Material Medicine, General & Internal

Chronic fatigue syndrome and long covid: moving beyond the controversy

Melanie Newman

BMJ-BRITISH MEDICAL JOURNAL (2021)

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Article Radiology, Nuclear Medicine & Medical Imaging

Myocardial perfusion after COVID-19 infection: No persisting impaired myocardial blood flow in surviving patients

G Thornton et al.

European Heart Journal-Cardiovascular Imaging (2021)

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Article Environmental Sciences

Six Months Follow-Up of Patients with Invasive Mechanical Ventilation Due to COVID-19 Related ARDS

Ayham Daher et al.

Summary: COVID-19-ARDS patients have the potential for full recovery in terms of pulmonary function and exercise capacity six months after discharge, regardless of disease severity during ICU stay.

INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH (2021)

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Article Cardiac & Cardiovascular Systems

Prevalence of Clinical and Subclinical Myocarditis in Competitive Athletes With Recent SARS-CoV-2 Infection Results From the Big Ten COVID-19 Cardiac Registry

Curt J. Daniels et al.

Summary: In this study of 1597 competitive athletes in the US who underwent CMR screening after COVID-19 infection, 37 athletes (2.3%) were diagnosed with clinical and subclinical myocarditis. There was variability in prevalence across universities, and testing protocols were closely associated with the detection of myocarditis. The unique CMR imaging data highlight the need for standardized timing and interpretation of cardiac testing for safe return to play in athletes.

JAMA CARDIOLOGY (2021)

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Article Cardiac & Cardiovascular Systems

Patients With Acute Myocarditis Following mRNA COVID-19 Vaccination

Han W. Kim et al.

Summary: This study described 7 patients with acute myocarditis, 4 of whom had received mRNA COVID-19 vaccination. All patients presented with severe chest pain, biomarker evidence of myocardial injury, and were hospitalized. Cardiac magnetic resonance imaging findings were typical for myocarditis. Further investigation is needed to determine associations of COVID-19 vaccination and myocarditis.

JAMA CARDIOLOGY (2021)

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Article Medicine, General & Internal

Serum Metabolic Profile in Patients With Long-Covid (PASC) Syndrome: Clinical Implications

Evasio Pasini et al.

Summary: Patients with long-Covid syndrome exhibit abnormalities in blood markers related to coagulation, protein disarrangement, and inflammation, indicating ongoing metabolic alterations contributing to the persistence of PASC. Long-term elevated D-Dimer levels suggest potential risks for thromboembolic disease.

FRONTIERS IN MEDICINE (2021)

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Letter Medicine, General & Internal

Assessment of Prolonged Physiological and Behavioral Changes Associated With COVID-19 Infection

Jennifer M. Radin et al.

JAMA NETWORK OPEN (2021)

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Article Biochemistry & Molecular Biology

Persistent Endothelial Dysfunction in Post-Acute COVID-19 Syndrome: A Case-Control Study

Pasquale Ambrosino et al.

Summary: The study found that post-acute COVID-19 syndrome is associated with persistent endothelial dysfunction, which is sex-biased with females having higher endothelial function values than males. Endothelial dysfunction is directly correlated with the severity of pulmonary impairment.

BIOMEDICINES (2021)

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Article Medicine, General & Internal

Symptom Persistence Despite Improvement in Cardiopulmonary Health - Insights from longitudinal CMR, CPET and lung function testing post-COVID-19

Mark Philip Cassar et al.

Summary: The study found that cardiopulmonary abnormalities in patients infected with COVID-19 improve over time, but some measures remain abnormal compared to controls. Persistent symptoms at 6 months post-COVID-19 were not significantly associated with objective cardiopulmonary health measures, indicating a complex relationship between symptoms and physiological abnormalities.

ECLINICALMEDICINE (2021)

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Article Medicine, General & Internal

Characterizing long COVID in an international cohort: 7 months of symptoms and their impact

Hannah E. Davis et al.

Summary: Patients with Long COVID report prolonged, multisystem involvement and significant disability. By seven months, many patients have not yet recovered (mainly from systemic and neurological/cognitive symptoms), have not returned to previous levels of work, and continue to experience significant symptom burden.

ECLINICALMEDICINE (2021)

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Article Respiratory System

Benefits of pulmonary rehabilitation in COVID-19: a prospective observational cohort study

Rainer Gloeckl et al.

Summary: The study demonstrates that pulmonary rehabilitation is a viable, safe, and effective therapeutic option for COVID-19 patients, regardless of disease severity. Patients showed improvements in exercise performance, lung function, and quality of life after rehabilitation.

ERJ OPEN RESEARCH (2021)

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Review Biochemistry & Molecular Biology

The signal pathways and treatment of cytokine storm in COVID-19

Lan Yang et al.

Summary: The COVID-19 pandemic is a global crisis with devastating effects, where immunopathology plays a crucial role in disease progression, particularly the cytokine storm which has a significant impact on prognosis. Understanding and targeting the pathways involved in cytokine storm could lead to more effective treatment strategies for COVID-19.

SIGNAL TRANSDUCTION AND TARGETED THERAPY (2021)

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Article Medicine, General & Internal

Short-term outpatient follow-up of COVID-19 patients: A multidisciplinary approach

M. A. de Graaf et al.

Summary: The short-term follow-up of COVID-19 patients reveals pulmonary dysfunction, myocardial damage, and severe psychological distress. Most patients suffer from functional limitations post-hospitalization, with dyspnea on exertion being the most frequently reported symptom possibly related to decreased DLCOc. Long-term follow-up is needed to investigate changes in lung function.

ECLINICALMEDICINE (2021)

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Article Medicine, General & Internal

Assessment of pulmonary arterial circulation 3 months after hospitalization for SARS-CoV-2 pneumonia: Dual-energy CT (DECT) angiographic study in 55 patients

Martine Remy-Jardin et al.

Summary: The study found that partial resolution of COVID-19 lung infiltration was observed in some patients 3 months after hospitalization, with normal DECTA results in most cases but 5.4% showing endoluminal filling defects. Perfusion abnormalities suggestive of widespread microangiopathy were found in 65.5% of patients.

ECLINICALMEDICINE (2021)

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Article Health Care Sciences & Services

Post-COVID syndrome in non-hospitalised patients with COVID-19: a longitudinal prospective cohort study

Max Augustin et al.

Summary: The study observed long-term symptoms in non-hospitalised patients post SARS-CoV-2 infection for four and seven months, identifying persistent symptoms such as shortness of breath, anosmia, ageusia, and fatigue, summarised as post-COVID syndrome (PCS).

LANCET REGIONAL HEALTH-EUROPE (2021)

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Article Cell Biology

Longitudinal proteomic analysis of severe COVID-19 reveals survival-associated signatures, tissue-specific cell death, and cell-cell interactions

Michael R. Filbin et al.

Summary: This study analyzed thousands of plasma proteins longitudinally in COVID-19 patients, uncovering immune and non-immune proteins linked to the disease. Dynamic immune-cell-derived and tissue-associated proteins associated with survival were identified. The research proposed a model in which interactions among myeloid, epithelial, and T cells drive tissue damage in severe COVID-19 disease.

CELL REPORTS MEDICINE (2021)

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Article Cardiac & Cardiovascular Systems

COVID-19 related thrombi in ascending and descending thoracic aorta with peripheral embolization: a case report

Jan W. Buikema et al.

Summary: COVID-19 infected patients are at increased risk for thrombotic events, with endothelial expression of virus receptors potentially leading to arterial thrombus formation. Prophylactic anticoagulants are recommended for all hospitalized COVID-19 patients to prevent thrombotic complications.

EUROPEAN HEART JOURNAL-CASE REPORTS (2021)

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Article Respiratory System

Early experiences of rehabilitation for individuals post-COVID to improve fatigue, breathlessness exercise capacity and cognition - A cohort study

Enya Daynes et al.

Summary: Recovery programmes for individuals with lasting symptoms of COVID-19 can significantly improve exercise capacity, respiratory symptoms, fatigue, and cognition, with no serious adverse events recorded.

CHRONIC RESPIRATORY DISEASE (2021)

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Article Cardiac & Cardiovascular Systems

Cardiac involvement in COVID-19 patients: mid-term follow up by cardiovascular magnetic resonance

Hui Wang et al.

Summary: Myocardial injury was found in 30% of recovered COVID-19 patients, with LGE lesions mainly located in the mid myocardium and/or sub-epicardium. Patients with LGE showed decreased LV and RV function compared to non-LGE patients, while no difference was found between non-LGE patients and healthy controls.

JOURNAL OF CARDIOVASCULAR MAGNETIC RESONANCE (2021)

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Article Medicine, General & Internal

Medium-term effects of SARS-CoV-2 infection on multiple vital organs, exercise capacity, cognition, quality of life and mental health, post-hospital discharge

Betty Raman et al.

Summary: The study found that COVID-19 patients discharged from the hospital still experience breathlessness, fatigue, cognitive impairment, and mental health issues. MRI revealed abnormalities in multiple organs, which were linked to inflammation and severity of acute illness.

ECLINICALMEDICINE (2021)

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Letter Cardiac & Cardiovascular Systems

Delayed catastrophic thrombotic events in young and asymptomatic post COVID-19 patients

Bingwen Eugene Fan et al.

JOURNAL OF THROMBOSIS AND THROMBOLYSIS (2021)

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Article Medicine, General & Internal

Multiorgan impairment in low-risk individuals with post-COVID-19 syndrome: a prospective, community-based study

Andrea Dennis et al.

Summary: A study conducted in two UK community centers found that 70% of individuals with persistent symptoms following recovery from SARS-CoV-2 infection had impairment in one or more organs 4 months after initial COVID-19 symptoms. Common symptoms included fatigue, muscle aches, breathlessness, and headaches.

BMJ OPEN (2021)

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Article Cardiac & Cardiovascular Systems

Patterns of myocardial injury in recovered troponin-positive COVID-19 patients assessed by cardiovascular magnetic resonance

Tushar Kotecha et al.

Summary: Troponin elevation is common in hospitalized COVID-19 patients, indicating potential myocardial injury. Using multi-parametric cardiovascular magnetic resonance, researchers found that recovered COVID-19 patients often exhibit myocarditis-like injury and ischemic damage. Interestingly, some patients showed signs of localized inflammation, while others had ischemic heart disease without prior history.

EUROPEAN HEART JOURNAL (2021)

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Article Medicine, General & Internal

Clinical Characteristics of 138 Hospitalized Patients With 2019 Novel Coronavirus-Infected Pneumonia in Wuhan, China

Dawei Wang et al.

JAMA-JOURNAL OF THE AMERICAN MEDICAL ASSOCIATION (2020)

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Article Medicine, General & Internal

Clinical features of patients infected with 2019 novel coronavirus in Wuhan, China

Chaolin Huang et al.

LANCET (2020)

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Letter Infectious Diseases

An interactive web-based dashboard to track COVID-19 in real time

Ensheng Dong et al.

LANCET INFECTIOUS DISEASES (2020)

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Article Cardiac & Cardiovascular Systems

Characteristics and clinical significance of myocardial injury in patients with severe coronavirus disease 2019

Shaobo Shi et al.

EUROPEAN HEART JOURNAL (2020)

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Article Cardiac & Cardiovascular Systems

Characteristics and outcomes of patients hospitalized for COVID-19 and cardiac disease in Northern Italy

Riccardo M. Inciardi et al.

EUROPEAN HEART JOURNAL (2020)

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Editorial Material Cardiac & Cardiovascular Systems

Coronaviruses and the cardiovascular system: acute and long-term implications

Tian-Yuan Xiong et al.

EUROPEAN HEART JOURNAL (2020)

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Letter Cardiac & Cardiovascular Systems

Right Ventricular Dilation in Hospitalized Patients With COVID-19 Infection

Edgar Argulian et al.

JACC-CARDIOVASCULAR IMAGING (2020)

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Article Cardiac & Cardiovascular Systems

Cardiac Involvement in Patients Recovered From COVID-2019 Identified Using Magnetic Resonance Imaging

Lu Huang et al.

JACC-CARDIOVASCULAR IMAGING (2020)

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Review Orthopedics

Physiotherapy management for COVID-19 in the acute hospital setting: clinical practice recommendations

Peter Thomas et al.

JOURNAL OF PHYSIOTHERAPY (2020)

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Article Cardiac & Cardiovascular Systems

Exercise in the Severe Acute Respiratory Syndrome Coronavirus-2 (SARS-CoV-2) era: A Question and Answer session with the experts Endorsed by the section of Sports Cardiology & Exercise of the European Association of Preventive Cardiology (EAPC)

Raghav T. Bhatia et al.

EUROPEAN JOURNAL OF PREVENTIVE CARDIOLOGY (2020)

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Letter Medicine, General & Internal

Endothelial cell infection and endotheliitis in COVID-19

Zsuzsanna Varga et al.

LANCET (2020)

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Article Cardiac & Cardiovascular Systems

Association of Cardiac Injury With Mortality in Hospitalized Patients With COVID-19 in Wuhan, China

Shaobo Shi et al.

JAMA CARDIOLOGY (2020)

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Article Medicine, General & Internal

Remdesivir for the Treatment of Covid-19-Final Report

John H. Beigel et al.

NEW ENGLAND JOURNAL OF MEDICINE (2020)

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Letter Cardiac & Cardiovascular Systems

COVID-19 Myocardial Injury in Survivors

Daniel S. Knight et al.

CIRCULATION (2020)

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Article Hematology

Postdischarge thrombosis and hemorrhage in patients with COVID-19

Rushad Patell et al.

BLOOD (2020)

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Editorial Material Radiology, Nuclear Medicine & Medical Imaging

Preliminary detection of lung hypoperfusion in discharged Covid-19 patients during recovery

Gianluigi Patelli et al.

EUROPEAN JOURNAL OF RADIOLOGY (2020)

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Editorial Material Sport Sciences

Infographic. Graduated return to play guidance following COVID-19 infection

Niall Elliott et al.

BRITISH JOURNAL OF SPORTS MEDICINE (2020)

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Review Cardiac & Cardiovascular Systems

COVID-19 cardiac injury: Implications for long-term surveillance and outcomes in survivors

Raul D. Mitrani et al.

HEART RHYTHM (2020)

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Review Cardiac & Cardiovascular Systems

Endothelial dysfunction in COVID-19: a position paper of the ESC Working Group for Atherosclerosis and Vascular Biology, and the ESC Council of Basic Cardiovascular Science

Paul C. Evans et al.

CARDIOVASCULAR RESEARCH (2020)

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Review Cardiac & Cardiovascular Systems

The Chief Scientist Office Cardiovascular and Pulmonary Imaging in SARS Coronavirus disease-19 (CISCO-19) study

Kenneth Mangion et al.

CARDIOVASCULAR RESEARCH (2020)

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Editorial Material Geriatrics & Gerontology

COVID-19: a major cause of cachexia and sarcopenia?

John E. Morley et al.

JOURNAL OF CACHEXIA SARCOPENIA AND MUSCLE (2020)

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Article Medicine, Legal

Dying with SARS-CoV-2 infection-an autopsy study of the first consecutive 80 cases in Hamburg, Germany

Carolin Edler et al.

INTERNATIONAL JOURNAL OF LEGAL MEDICINE (2020)

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Letter Medicine, General & Internal

Persistent Symptoms in Patients After Acute COVID-19

Angelo Carfi et al.

JAMA-JOURNAL OF THE AMERICAN MEDICAL ASSOCIATION (2020)

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Article Cardiac & Cardiovascular Systems

Association of Cardiac Infection With SARS-CoV-2 in Confirmed COVID-19 Autopsy Cases

Diana Lindner et al.

JAMA CARDIOLOGY (2020)

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Article Cardiac & Cardiovascular Systems

Outcomes of Cardiovascular Magnetic Resonance Imaging in Patients Recently Recovered From Coronavirus Disease 2019 (COVID-19)

Valentina O. Puntmann et al.

JAMA CARDIOLOGY (2020)

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Article Psychology, Biological

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NATURE HUMAN BEHAVIOUR (2020)

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Outcomes for Patients With COVID-19 and Acute Kidney Injury: A Systematic Review and Meta-Analysis

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Kidney International Reports (2020)

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Review Cardiac & Cardiovascular Systems

Role of angiotensin-converting enzyme 2 and pericytes in cardiac complications of COVID-19 infection

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AMERICAN JOURNAL OF PHYSIOLOGY-HEART AND CIRCULATORY PHYSIOLOGY (2020)

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Article Cardiac & Cardiovascular Systems

Prevalence and Impact of Myocardial Injury in Patients Hospitalized With COVID-19 Infection

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Review Cardiac & Cardiovascular Systems

Cardiac Troponin for Assessment of Myocardial Injury in COVID-19 JACC Review Topic of the Week

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Article Medicine, General & Internal

Safety and immunogenicity of the ChAdOx1 nCoV-19 vaccine against SARS-CoV-2: a preliminary report of a phase 1/2, single-blind, randomised controlled trial

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Letter Clinical Neurology

Acute hyperhidrosis and postural tachycardia in a COVID-19 patient

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CLINICAL AUTONOMIC RESEARCH (2020)

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Letter Clinical Neurology

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CLINICAL AUTONOMIC RESEARCH (2020)

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Article Cardiac & Cardiovascular Systems

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Editorial Material Cardiac & Cardiovascular Systems

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Article Cardiac & Cardiovascular Systems

Heart failure in COVID-19 patients: prevalence, incidence and prognostic implications

Juan R. Rey et al.

EUROPEAN JOURNAL OF HEART FAILURE (2020)

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Editorial Material Medicine, General & Internal

Management of post-acute covid-19 in primary care

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Article Cardiac & Cardiovascular Systems

Global evaluation of echocardiography in patients with COVID-19

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Prognostic Utility of Right Ventricular Remodeling Over Conventional Risk Stratification in Patients With COVID-19

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Article Medicine, General & Internal

Global burden of 87 risk factors in 204 countries and territories, 1990-2019: a systematic analysis for the Global Burden of Disease Study 2019

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Article Medicine, General & Internal

Offline: COVID-19 is not a pandemic

Richard Horton

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Article Medicine, General & Internal

Efficacy of Tocilizumab in Patients Hospitalized with Covid-19

John H. Stone et al.

NEW ENGLAND JOURNAL OF MEDICINE (2020)

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Letter Cardiac & Cardiovascular Systems

Patients Recovered From COVID-19 Show Ongoing Subclinical Myocarditis as Revealed by Cardiac Magnetic Resonance Imaging

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News Item Medicine, General & Internal

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Association of Troponin Levels With Mortality in Italian Patients Hospitalized With Coronavirus Disease 2019 Results of a Multicenter Study

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Article Cardiac & Cardiovascular Systems

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Screening of Potential Cardiac Involvement in Competitive Athletes Recovering From COVID-19

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Article Medicine, General & Internal

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Letter Infectious Diseases

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Delayed manifestation of COVID-19 presenting as lower extremity multilevel arterial thrombosis: a case report

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Article Psychiatry

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IRISH JOURNAL OF PSYCHOLOGICAL MEDICINE (2020)

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Article Cardiac & Cardiovascular Systems

Prognostic Impact of Prior Heart Failure in Patients Hospitalized With COVID-19

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Article Cardiac & Cardiovascular Systems

Characterization of Myocardial Injury in Patients With COVID-19

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Review Cardiac & Cardiovascular Systems

Management of Acute Myocarditis and Chronic Inflammatory Cardiomyopathy An Expert Consensus Document

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Letter Public, Environmental & Occupational Health

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Article Medicine, Research & Experimental

Post-viral fatigue and COVID-19: lessons from past epidemics

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Coronaviruses and the cardiovascular system: acute and long-term implications

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Late acute pulmonary embolism after mild Coronavirus Disease 2019 (COVID-19): a case series

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Article Cardiac & Cardiovascular Systems

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Article Cardiac & Cardiovascular Systems

Inhibition of soluble TNFα prevents adverse atrial remodeling and atrial arrhythmia susceptibility induced in mice by endurance exercise

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Association of Biologic Therapy With Coronary Inflammation in Patients With Psoriasis as Assessed by Perivascular Fat Attenuation Index

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Review Hematology

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Recommendations for participation in competitive and leisure time sport in athletes with cardiomyopathies, myocarditis, and pericarditis: position statement of the Sport Cardiology Section of the European Association of Preventive Cardiology (EAPC)

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Article Medicine, General & Internal

Withdrawal of pharmacological treatment for heart failure in patients with recovered dilated cardiomyopathy (TRED-HF): an open-label, pilot, randomised trial

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Review Clinical Neurology

Neuroinflammation and Cytokines in Myalgic Encephalomyelitis/Chronic Fatigue Syndrome (ME/CFS): A Critical Review of Research Methods

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Article Cardiac & Cardiovascular Systems

Advanced heart failure: a position statement of the Heart Failure Association of the European Society of Cardiology

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Higher High-Sensitivity C Reactive Protein is Associated with Future Premature Ventricular Contraction: a Community Based Prospective Cohort Study

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Orthostatic Hypotension JACC State-of-the-Art Review

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Article Medicine, General & Internal

Non-invasive detection of coronary inflammation using computed tomography and prediction of residual cardiovascular risk (the CRISP CT study): a post-hoc analysis of prospective outcome

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Review Cardiac & Cardiovascular Systems

Cardiovascular Magnetic Resonance in Nonischemic Myocardial Inflammation Expert Recommendations

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Myocardial native T2 measurement to differentiate light-chain and transthyretin cardiac amyloidosis and assess prognosis

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Article Cardiac & Cardiovascular Systems

2017 ACC/AHA/HFSA Focused Update of the 2013 ACCF/AHA Guideline for the Management of Heart Failure A Report of the American College of Cardiology/American Heart Association Task Force on Clinical Practice Guidelines and the Heart Failure Society of America

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Article Cardiac & Cardiovascular Systems

Troponin-positive chest pain with unobstructed coronary arteries: incremental diagnostic value of cardiovascular magnetic resonance imaging

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Antibodies to β adrenergic and muscarinic cholinergic receptors in patients with Chronic Fatigue Syndrome

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Article Cardiac & Cardiovascular Systems

Current Diagnostic and Treatment Strategies for Specific Dilated Cardiomyopathies: A Scientific Statement From the American Heart Association

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Article Cardiac & Cardiovascular Systems

The association between influenza infection, vaccination, and atrial fibrillation: A nationwide case-control study

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EXPERT REVIEW OF ANTI-INFECTIVE THERAPY (2015)

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2014 AHA/ACC Guideline for the Management of Patients With Non-ST-Elevation Acute Coronary Syndromes A Report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines

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Association Between Influenza Vaccination and Cardiovascular Outcomes in High-Risk Patients A Meta-analysis

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Chronic fatigue syndrome from vagus nerve infection: A psychoneuroimmunological hypothesis

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Low-dose propranolol and exercise capacity in postural tachycardia syndrome A randomized study

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Standardized image interpretation and post processing in cardiovascular magnetic resonance: Society for Cardiovascular Magnetic Resonance (SCMR) Board of Trustees Task Force on Standardized Post Processing

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Influenza Vaccination and Major Adverse Vascular Events in High-Risk Patients

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Benefits of massive weight loss on symptoms, systemic inflammation and cartilage turnover in obese patients with knee osteoarthritis

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Chronic widespread musculoskeletal pain, fatigue, depression and disordered sleep in chronic post-SARS syndrome; a case-controlled study

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Singing teaching as a therapy for chronic respiratory disease - a randomised controlled trial and qualitative evaluation

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Meeting Abstract Clinical Neurology

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Source of inflammatory markers in patients with atrial fibrillation

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Review Cardiac & Cardiovascular Systems

The link between abdominal obesity, metabolic syndrome and cardiovascular disease

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Article Cardiac & Cardiovascular Systems

The role of cardiovascular magnetic resonance in patients resenting with chest pain, raised troponin, and unobstructed coronary arteries

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Lower limb and abdominal compression bandages prevent progressive orthostatic hypotension in elderly persons: A randomized single-blind controlled study

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Reduction in the incidence of type 2 diabetes with lifestyle intervention or metformin

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C-reactive protein elevation in patients with atrial arrhythmias - Inflammatory mechanisms and persistence of atrial fibrillation

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