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editorial
. 2021 Sep-Oct;47(5):e20210406. doi: 10.36416/1806-3756/e20210406

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.