Features of diagnosing postexertional malaise and chronic fatigue syndrome in the development of medical rehabilitation programs for long COVID

One of the key challenges in modern medical rehabilitation is the recovery of patients with symptoms of long COVID. Various types of physical exercise are considered the most effective rehabilitation methods. However, according to published data, there is a phenotype of long COVID associated with my...

Full description

Saved in:
Bibliographic Details
Main Authors: Ksenia S. Avdeeva, Tatiana I. Petelina, Aleksandr V. Gorbachevskii, Yliya A. Sharoyan, Marina I. Bessonova
Format: Article
Language:English
Published: Concilium Medicum 2025-01-01
Series:КардиоСоматика
Subjects:
Online Access:https://cardiosomatics.ru/2221-7185/article/viewFile/676890/204322
Tags: Add Tag
No Tags, Be the first to tag this record!
Description
Summary:One of the key challenges in modern medical rehabilitation is the recovery of patients with symptoms of long COVID. Various types of physical exercise are considered the most effective rehabilitation methods. However, according to published data, there is a phenotype of long COVID associated with myalgic encephalomyelitis/chronic fatigue syndrome (ME/CFS), characterized by postexertional malaise and exercise intolerance. For safe medical rehabilitation, early identification of ME/CFS and the development of alternative rehabilitation programs with reduced physical exertion are required for this category of patients. Sources were identified through searches of electronic databases, including eLIBRARY.RU, SpringerLink, Frontiers, and PubMed. The clinical importance of this issue is compounded by the absence of clear diagnostic criteria and validated biomarkers for both long COVID and ME/CFS, highlighting the need for thorough phenotyping. The present review provides a detailed description of the ME/CFS phenotype and proposes a diagnostic algorithm for postexertional malaise based on the use of questionnaires, diagnostic testing, and cardiopulmonary exercise testing in patients with long COVID.
ISSN:2221-7185
2658-5707