A guide to return to the physical activity of COVID-19, near the College of Cardiology

El Colegio Estadounidense de Cardiología broadcasts a consensus document in proportion to the professional and brand of understanding and managing the cardiac sex and the most important of COVID-19 (photo: Características.co)

El Estadounidense College of Cardiology . The consensus document proportionally to the professionals and the brand to understand and manage the cardiac sexes most of the sick.

With the publication Infobae el pasado jueves, la llamada “vía de redución de consenso de expertos para la evaluaçion i el manejo de adultos con consecencias cardiovasculares clave de COVID-19⁇ -CoV-2, los enfoques centrados en el pacienta para el COVID prolongado y la orientatsion sobre la reanudación del ejercicio después de superada la enfermedad. The ACC published a clinical clinic in the Journal of the American College of Cardiology.

“This document is intended to proportionally recommend recommendations about how to evaluate and manage adults with these conditions, including orientation for recourse to the game for competitive and non-competitive athletes ”, dijo Ty Gluckman, co-president of the path of decision by consensus of experts.

The experts defined el COVID prolonged to PASC (Post Acute Sequelae of Coronavirus SARS-CoV-2, it causes sexual activity due to SARS-CoV-2 infection) as “a constellation of new health problems, recurrences of persistence that experiment with persons 4 or more of them are infected with SARS-CoV-2 infection. Patients with this affect are experiencing an amplitude range of symptoms that are included fatiga, cognitive dysfunction, trajectory of dream and intolerance to ejection. The information states that all systems of organs, with different effects on the quality of life, will be destroyed ”.

In the number of athletes present with cardiopulmonary symptoms, “the initial evaluation should be ideal with an ECG, cTn (biomarker troponina cardiaca) and an ecocardiogram (Photo: Oliver Krato / dpa)
In the number of athletes present with cardiopulmonary symptoms, “the initial evaluation should be ideal with an ECG, cTn (biomarker troponina cardiaca) and an ecocardiogram (Photo: Oliver Krato / dpa)

One of them is myocarditis, an inflammation of the heart. The treatment of an affect is defined by the presence of cardiac symptoms (heartburn, respiratory failure, palpitations), elevated cardiac tropon (cardiac lesion biomarker) and abnormal electrocardiogram (ECG), cardiac imaging (ecocardiogram, magnetic / cardiac magnetic resonance and magnetic resonance imaging).

Experts in state señalaron que, aunque es poco comun, la myocarditis by COVID-19 it is observed with mayor frequency in men. “I think that myocarditis is associated with a major risk of cardiac complications, it is necessary to implement a proactive work plan to guide these people. For patients with forms of myocarditis, they recommend hospitalization to monitor the development of symptoms, it is necessary to consider the tests of treatment and treatment. Ideally, patients with myocarditis may be hospitalized in centers with advanced cardiac insufficiency experience, support the mechanical circulation and other advanced therapies ”, we recommend the experts.

How many people desarrollan habitually an active physical activity, advirtieron que se observaron “leciones cardíacas entre algunos pacientes hospitalizados con COVID-19 h y hubo“ incertidumbre sobre las secuelas cardiovasculares después de una enfermedad leve ”. I’m pushing in the form of retaliation for sports. “The poster data of the great registers have demonstrated a high prevalence of general myocarditis, without an increase in the number of cardiac events. Based on this, it is proportional to a factual guide with a practical mark based on evidence for to guide the resuscitation of athletics and intensive physical training ”explicaron.

Diagnosed persons with clinical myocarditis may be abstained from having heart failure during their six months ”, advirtieron (Photo: Cuartoscuro)
Diagnosed persons with clinical myocarditis may be abstained from having heart failure during their six months ”, advirtieron (Photo: Cuartoscuro)

This is the medical criterion for them “Athletes who are recovering from COVID-19 with continuing cardiopulmonary symptoms (dolor en el pecho, dificultad para respirar, palpitaciones, mareos) o aquellos que requieren hospitalización con mayor sospecha de compromiso cardíaco, to carry out an additional evaluation with triad tests: an ECG (electrocardiogram), cardiac troponic medicine and an ecocardiogram ”. In this group, those who present “abnormal test results” should be considered in an additional evaluation with magnetic resonance imaging (IRM cardiac). Diagnosed persons with clinical myocarditis may be abstained from having a heart attack three months ago, ” advirtieron.

In exchange, “We do not recommend cardiac tests for asymptomatic people suffering from COVID-19 infection”, aunque “Persons should be able to train three days to insure that they will not be able to get rid of the symptoms”. But those who present “symptoms of moderate cardiopulmonary disorders (fever, lethargy, muscular diseases), the training can rejuvenate the resolution of the symptoms. Para aquellos con infection remota (≥ tres meses) sin sítomas cardiopulmonares continuos, se recomienda un aumento gradual del ejercicio sin necesidad de pruebas cardiacas ”dijeron.

Having the opportunity to have the presence of myocarditis in competitive athletes, the authors of the work of señalaron who are recommended You can apply to young athletes for a promotion of 14 years “together with enthusiastic enthusiasts. Without embargo, there should be future studies to understand how many times the cardiac anomalies due to infection with COVID-19 and the physical training paper in COVID prolonged ”.

“We do not recommend cardiac tests for asymptomatic people due to infection with COVID-19 ″, dijeron
“We do not recommend cardiac tests for asymptomatic people due to infection with COVID-19 ″, dijeron

“Además, debe enfatizar un régimen de RTP (regreso al deporte, por sus siglas en Ingles) graduado en todas las personas con antecedentes de COVID-19 para garantizar una estrecha vigilancia de nuevos syntomas cardiopulmonares“, dijeron los escistist. “For those who participate in competitive sports organizations, the programs of graduation programs are individualized and implemented, with the support of athletic trainers and medical practitioners of primary care medicine ”, aclararon.

So much, “For the mayor of the persons who participate in recreational athletics of high level, a program of graduation of recourse to the equivalent of higher education qualifications with the highest quality of training. This is a very important point, and many enthusiasts of high-level recreational activities do not have access to intermediate cardiology and sports cardiology references, independently of the severity of the symptoms, ”he said.

In the knowledge of the athletes who present cardiopulmonary symptoms, “the initial evaluation should be ideal with an ECG, cTn (cardiac troponin biomarker) and an ecocardiogram. The presence of abnormal hallucinations with the triad of triad of cardiopulmonary symptoms suggest that an additional evaluation with RMC (cardiac magnetic resonance) should be carried out ”.

“Para la mayoría de las personas que participan en atletismo recreativno de alto nivel, un programa graduado de regreso al ejercicio equivale a aumentos graduales más cualitativos en el esfuerzo”, aclararon los expertos (Gettyimages)

“The most important test can be a complementary use in cases of persistent pulmonary cardiopulmonary disorders, only because of the exclusion of myocarditis with RMC. On the basis of the prevalence of myocarditis observed in competitive athletes with COVID-19, it is also reasonable to apply these recommendations to secondary athletes (from ≥14-15 years old) together with enthusiasts of recreational activities of mastery. ”

Athletes present at the beginning of COVID-19 and cardiopulmonary symptoms, “the duration of time due to the resolution of symptoms and clinical status of the actual athlete should be able to do the same”, said, and detailed: because of the resolution of the symptoms of cardiopulmonary disorders, it is necessary to realize the triad. If he had a rest> 3 months since the resolution of the cardiopulmonary symptoms and there are no limits for the exercise, it is probable that you do not need more cardiac tests. The justification of this is a derivative of the orientation orientation that recommends avoiding the endurance of men for 3 months in cases of confirmed myocarditis ”.

If you transcend 1 to 3 months of the person presenting the symptoms of pulmonary cardiopulmonary and athletic regimens, he will be able to recover from his training, but he will be able to continue the training without evaluating the additional cardiac rate (Getty).
If you transcend 1 to 3 months of the person presenting the symptoms of pulmonary cardiopulmonary and athletic regimens, he will be able to recover from his training, but he will be able to continue the training without evaluating the additional cardiac rate (Getty).

For another part, and transcend 1 and 3 months of the person presenting the symptoms of cardiopulmonary, in the case of athletes who “have recourse to training on account of the limit of exercise, it is reasonable to allow continuous training without a cardinal evaluation. This decision should be individualized and based on the clinical justice, information on the type and the severity of the symptoms. The factors that justify an additional evaluation of cardiac additions include the symptoms of cardiopulmonary preoccupations (eg, syncope, palpitations for severe exercise and oppressive torque or dyspnea due to dyspnea).

Experts say that every person who is physically active and does not present the symptoms of COVID-19’s tenses can be evaluated to return to their practical practices. , the athletes who are permanently asymptomatic or who have symptoms of cardiopulmonares and are still having a limit without requiring more cardiac tests ”, concluyeron.

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