Diaphragm dysfunction in severe COVID‐19 as determined by neuromuscular ultrasound
Autor: | Leslie Rydberg, Alexis R. Wolfe, James M. Walter, Colin K. Franz, Lisa F. Wolfe, Rachna Soriano, Swati Deshmukh, Ellen Farr, Andrea J. Boon |
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Rok vydání: | 2021 |
Předmět: |
Adult
Male medicine.medical_specialty Coronavirus disease 2019 (COVID-19) medicine.medical_treatment Diaphragm Hospitals Rehabilitation Neurosciences. Biological psychiatry. Neuropsychiatry Brief Communication Neuromuscular ultrasound Contractility Post-Acute COVID-19 Syndrome Internal medicine medicine Humans Expiration RC346-429 Aged Ultrasonography Aged 80 and over Inpatients Rehabilitation business.industry General Neuroscience COVID-19 Middle Aged Diaphragm (structural system) Cohort Cardiology Female Neurology. Diseases of the nervous system Neurology (clinical) Abnormality Brief Communications business RC321-571 |
Zdroj: | Annals of Clinical and Translational Neurology, Vol 8, Iss 8, Pp 1745-1749 (2021) Annals of Clinical and Translational Neurology |
ISSN: | 2328-9503 |
DOI: | 10.1002/acn3.51416 |
Popis: | Many survivors from severe coronavirus disease 2019 (COVID‐19) suffer from persistent dyspnea and fatigue long after resolution of the active infection. In a cohort of 21 consecutive severe post‐COVID‐19 survivors admitted to an inpatient rehabilitation hospital, 16 (76%) of them had at least one sonographic abnormality of diaphragm muscle structure or function. This corresponded to a significant reduction in diaphragm muscle contractility as represented by thickening ratio (muscle thickness at maximal inspiration/end‐expiration) for the post‐COVID‐19 compared to non‐COVID‐19 cohorts. These findings may shed new light on neuromuscular respiratory dysfunction as a contributor to prolonged functional impairments after hospitalization for post‐COVID‐19. |
Databáze: | OpenAIRE |
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