Cardiopulmonary exercise testing in the COVID-19 endemic phase

Faghy, Mark A; Sylvester, Karl; Cooper, Brendan; Hull, James H.

doi:10.1016/j.bja.2020.06.006

Cited by 53 publications

(54 citation statements)

References 14 publications

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“…Interestingly, after the frantic search for the best pharmacologic treatment of COVID-19, this expert consensus is highly regarded on psychosocial support to patients and their relatives/caregivers, as part of really multicomponent CR programmes, 18 to better meet growing population’s needs after the emergency phase. An important consensus was also reached on the need for continuing CPET activities, in line with other expert opinions on this topic, 19 to ensure a properly test-guided and individualized training programme.…”

Section: Discussionmentioning

confidence: 89%

Delphi consensus recommendations on how to provide cardiovascular rehabilitation in the COVID-19 era

Ambrosetti

Abreu

Cornelissen³

et al. 2020

European Journal of Preventive Cardiology

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This Delphi consensus by 28 experts from the European Association of Preventive Cardiology (EAPC) provides initial recommendations on how cardiovascular rehabilitation (CR) facilities should modulate their activities in view of the ongoing coronavirus disease 2019 (COVID-19) pandemic. A total number of 150 statements were selected and graded by Likert scale [from −5 (strongly disagree) to +5 (strongly agree)], starting from six open-ended questions on (i) referral criteria, (ii) optimal timing and setting, (iii) core components, (iv) structure-based metrics, (v) process-based metrics, and (vi) quality indicators. Consensus was reached on 58 (39%) statements, 48 ‘for’ and 10 ‘against’ respectively, mainly in the field of referral, core components, and structure of CR activities, in a comprehensive way suitable for managing cardiac COVID-19 patients. Panelists oriented consensus towards maintaining usual activities on traditional patient groups referred to CR, without significant downgrading of intervention in case of COVID-19 as a comorbidity. Moreover, it has been suggested to consider COVID-19 patients as a referral group to CR per se when the viral disease is complicated by acute cardiovascular (CV) events; in these patients, the potential development of COVID-related CV sequelae, as well as of pulmonary arterial hypertension, needs to be focused. This framework might be used to orient organization and operational of CR programmes during the COVID-19 crisis.

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Section: Discussionmentioning

confidence: 89%

Delphi consensus recommendations on how to provide cardiovascular rehabilitation in the COVID-19 era

Ambrosetti

Abreu

Cornelissen³

et al. 2020

European Journal of Preventive Cardiology

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“…Some of these have been specifically developed with health and wellbeing in mind and could be used with very little adaptation for clinical services. 54 (p19) Others were created to meet the needs of elite high-performance athletes but with care could be transformed to meet the needs of clinical groups. Whilst these facilities differ between institutions normally, they include laboratory spaces that can provide physiological, biomechanical, and psychological support.…”

Section: The Need For Cross Disciplinary Approaches Incorporating Exementioning

confidence: 99%

The need for exercise sciences and an integrated response to COVID-19: A position statement from the international HL-PIVOT network

Faghy

Arena

Stoner

et al. 2021

Progress in Cardiovascular Diseases

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COVID-19 is one of the biggest health crises that the world has seen. Whilst measures to abate transmission and infection are ongoing, there continues to be growing numbers of patients requiring chronic support, which is already putting a strain on health care systems around the world and which may do so for years to come. A legacy of COVID-19 will be a long-term requirement to support patients with dedicated rehabilitation and support services. With many clinical settings characterized by a lack of funding and resources, the need to provide these additional services could overwhelm clinical capacity. This position statement from the Healthy Living for Pandemic Event Protection (HL-PIVOT) Network provides a collaborative blueprint focused on leading research and developing clinical guidelines, bringing together professionals with expertise in clinical services and the exercise sciences to develop the evidence base needed to improve outcomes for patients infected by COVID-19.

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“…Cardiopulmonary exercise testing (CPX) is the gold standard approach to assessing CRF, providing the most comprehensive, non-invasive approach to assessing the integrity of the gears and circuits involved in physical exertion during aerobic activity, 1 , 23 , 24 and is important in the post-COVID-19 period. 25 Cardiorespiratory fitness is defined as the integrated function of multiple physiologic systems (e.g. respiratory, cardiovascular, and skeletal muscle), reflecting the interdependence of processes including pulmonary ventilation/perfusion, right/left ventricular (RV/LV) function, ventricular–arterial coupling, vascular accommodation of efficient blood transport to match O 2 requirements, metabolic consumption of O 2 and nutrients by muscle cells received from the blood, and communication of these metabolic demands to the cardiovascular control center.…”

Section: A Revised Gear and Circuit Modelmentioning

confidence: 99%

An Evolving Approach to Assessing Cardiorespiratory Fitness, Muscle Function and Bone and Joint Health in the COVID-19 Era

Arena¹,

Myers²,

Ozemek³

et al. 2022

Current Problems in Cardiology

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Cardiopulmonary exercise testing in the COVID-19 endemic phase

Cited by 53 publications

References 14 publications

Delphi consensus recommendations on how to provide cardiovascular rehabilitation in the COVID-19 era

Delphi consensus recommendations on how to provide cardiovascular rehabilitation in the COVID-19 era

The need for exercise sciences and an integrated response to COVID-19: A position statement from the international HL-PIVOT network

An Evolving Approach to Assessing Cardiorespiratory Fitness, Muscle Function and Bone and Joint Health in the COVID-19 Era

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