Patients with post-Covid-19 syndrome are at high risk of developing cardiovasculardiseases 12 months after acute infection of COVID-19. We recently revealed that thesepatients have elevated muscular sympathetic nerve activity (MSNA), vascular dysfunction,impaired cardiac diastolic function, and reduced functional capacity. Considering thatthese outcomes are independent predictors of cardiovascular mortality, it is urgent torestore the cardiovascular health of these patients. High resistance inspiratory musclestrength training (IMST) at 75% of pressure inspiratory (PImax) performed at home (5min/session, 5-7 times/week per 6 weeks) reduces the MSNA, improves the endothelialfunction and lowers blood pressure in different populations. Based on these findings,IMST (75% PImax) is an excellent therapeutic option for patients with post-COVID-19syndrome. Therefore, the aim of the present proposal is to test whether IMST (75% PImax)reduces sympathetic activity, improves vascular function, and restores cardiac function,evoking an increase in functional capacity in patients with post-COVID-19 syndrome. Totest these hypotheses we will conduct a randomized, double-blind, sham-controlledclinical trial to test these hypotheses.
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Other: Inspiratory muscle strength training
Using a handheld device, participants will perform 30 breaths per day at 75% of maximal
inspiratory pressure, six days a week, during 6 weeks.
Inclusion Criteria:
- Post-COVID-19 syndrome
- Have been diagnosed with COVID-19 by RT-PCR
- Have oxygen saturation ≤ 93% in room air during the acute phase of the COVID-19
- Have received oxygen supply from any device during the acute phase of the COVID-19
- Hospitalization to treat the Covid-19
- Participants in cardiopulmonary rehabilitation or physical conditioning programs
Exclusion Criteria:
- Pregnant
- History of chronic obstructive pulmonary disease or dependence on oxygen support
- History of cardiovascular and renal diseases and cancer prior to the COVID-19
diagnosis
- Difficulties in moving to the laboratory for assessments
D'Or Institute of Research and Education
São Paulo, Brazil
Investigator: Allan R Kluser Sales, PhD
Contact: 55+21996482036
allan.sales@idor.org
Investigator: Allan Kluser Sales, Phd
Allan R Sales, PhD
55 21 996482036
allan.sales@idor.org
Artur Sales, Bs
55 11 970921084
Not Provided