COVID-19后的自主神经功能障碍和运动不耐受--一个尚未被低估的器官系统?

IF 5.3 1区 心理学 Q1 PSYCHOLOGY, CLINICAL
F. Schwendinger , V.N. Looser , M. Gerber , A. Schmidt-Trucksäss
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引用次数: 0

摘要

从COVID-19中恢复的个体通常会出现持续的症状,特别是运动不耐受和心肺功能低下。简单地说,沃瑟曼齿轮系统描述了心脏、肺和肌肉组织之间的相互依赖,作为心肺健康的决定因素。基于这一系统,最近的研究结果表明外周、心血管和肺弥散限制对运动不耐受和低心肺适能的持续症状有贡献。自主神经系统作为一种参与运动不耐受和低心肺适能病理生理的器官系统,迄今为止受到的关注很少。因此,我们的文章讨论了自主神经系统通过四种潜在途径的贡献,即(1)脑血流动力学的改变,(2)传入和传出信号,(3)中枢超敏反应,以及(4)对身体活动的评价和参与。这些途径总结在一个心理病理生理模型中。因此,本文通过研究肺部和心血管系统、外周神经系统以及辅助的自主神经系统的状态作为covid -19后患者运动不耐受和心肺健康低下的潜在潜在机制,鼓励转变观点。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Autonomic dysfunction and exercise intolerance in post-COVID-19 - An as yet underestimated organ system?

Individuals recovering from COVID-19 often present with persistent symptoms, particularly exercise intolerance and low cardiorespiratory fitness. Put simply, the Wasserman gear system describes the interdependence of heart, lungs, and musculature as determinants of cardiorespiratory fitness. Based on this system, recent findings indicate a contribution of peripheral, cardiovascular, and lung diffusion limitations to persistent symptoms of exercise intolerance and low cardiorespiratory fitness. The autonomic nervous system as an organ system involved in the pathophysiology of exercise intolerance and low cardiorespiratory fitness, has received only little attention as of yet. Hence, our article discusses contribution of the autonomic nervous system through four potential pathways, namely alterations in (1) cerebral hemodynamics, (2) afferent and efferent signaling, (3) central hypersensitivity, and (4) appraisal and engagement in physical activity. These pathways are summarized in a psycho-pathophysiological model. Consequently, this article encourages a shift in perspective by examining the state of the pulmonary and cardiovascular system, the periphery, and auxiliary, the autonomic nervous system as potential underlying mechanisms for exercise intolerance and low cardiorespiratory fitness in patients with post-COVID-19.

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来源期刊
CiteScore
10.70
自引率
5.70%
发文量
38
审稿时长
33 days
期刊介绍: The International Journal of Clinical and Health Psychology is dedicated to publishing manuscripts with a strong emphasis on both basic and applied research, encompassing experimental, clinical, and theoretical contributions that advance the fields of Clinical and Health Psychology. With a focus on four core domains—clinical psychology and psychotherapy, psychopathology, health psychology, and clinical neurosciences—the IJCHP seeks to provide a comprehensive platform for scholarly discourse and innovation. The journal accepts Original Articles (empirical studies) and Review Articles. Manuscripts submitted to IJCHP should be original and not previously published or under consideration elsewhere. All signing authors must unanimously agree on the submitted version of the manuscript. By submitting their work, authors agree to transfer their copyrights to the Journal for the duration of the editorial process.
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