Table 1. Summary of the main studies evaluating exercise intolerance in patients after COVID-19 infection.
Time of evaluation sample (n) | Dyspnea (mMRC) |
Subgroups | Peak VO2
in the sample |
Findings |
---|---|---|---|---|
Rinaldo et al.
2
3 months (n = 75) |
57% |
Severity of hospitalization: mild-moderate, severe, and critical |
54% (VO2 < 85%prev) (post hoc analysis) |
Older Greater residual pulmonary sequelae No difference in lung function No difference in peak VO2 in cardiocirculatory and gas exchange responses. Mild increase of V’E/V’CO2 in the critical vs. mild-moderate group |
Rinaldo et al.
4
3 months (n = 75) |
52% | Reduced or normal peak VO2 | 55% (VO2
< 85%prev) |
Lower lactate threshold Lower ∆VO2/∆WR Lower pulse O2 |
Skjørten et al.
5
3 months (n=156) (multicenter) |
47% |
Comparison with normal population without COVID-19 by z-score (20% in ICU) | 89 ± 17%prev 31% (VO2 < 80%prev) |
15% reduced lactate threshold 16% ventilatory limitation 23% desaturation >4% 15% increased ∆V’E/∆V’CO2 |
Motiejunaite et al.
6
3 months (n = 114) |
Dyspnea 40% Fatigue 32% |
DCO ≤ or > 75%prev | 75% (VO2 < 85%prev) |
Smallest peak VO2
Lower lactate threshold Tendency to greater limitation to exercise |
Liu et al.
12
7 months (n = 41) |
- |
Persistence or absence of pulmonary fibrosis on chest CT | 16.4 ± 3.6 mL/kg/min (with fibrosis) 20.2 ± 3.7 mL/kg/min (no fibrosis) |
Older and more severe hospitalization Smallest peak VO2 Lower METS Higher V’E/V’CO2 |
Debeaumont et al.*
6 months (n = 23) |
78% | ICU vs. ward | 52% (VO2 < 85%prev) | Higher ∆V’E/∆V’CO2 |
Dorelli et al.**
5 months (n = 28) |
- |
∆V'E/∆V’CO2
> 31 or ≤ 31 |
29.2 ± 8.3 mL/kg/min |
No difference in pulmonary function variables at rest and in CPET responses |
Abbreviations: mMRC: Medical Research Council modified dyspnea scale; peak VO2: peak exercise oxygen consumption; WR: work rate; V’E/V’CO2: minute ventilation by carbon dioxide output; DCO: carbon monoxide diffusion; chest CT: chest computed tomography; ICU: intensive care unit. *Https://www.doi.org/10.1093/ptj/pzab099 **DOI: https://www.doi.org/10.3390/diagnostics11030507.