Visualizing exertional dyspnea in a post-COVID patient using electrical impedance tomography.

Purpose and method: Many post-COVID patients suffer from dyspnea on exertion. To visualize exercise-induced dyspnea, a post-COVID patient and a healthy volunteer underwent an exercise test on a treadmill under stress relevant to everyday life monitored by electrical impedance tomography (EIT). Resul...

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Publicado en:Infection Vol. 51; no. 6; pp. 1841 - 1846
Autores principales: Gremme, Yvonne, Derlien, Steffen, Katzer, Katrin, Reuken, Philipp A., Stallmach, Andreas, Lewejohann, Jan-Christoph, Lemhöfer, Christina
Formato: case study diagnostic images pictorial tables/charts Journal Article
Publicado: Springer Nature Dec2023
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Dec2023
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      pub: Springer Nature
      place: New York, New York
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        10.1007/s15010-023-02062-3
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        atl: Visualizing exertional dyspnea in a post-COVID patient using electrical impedance tomography.
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        au:
          Gremme, Yvonne
          Derlien, Steffen
          Katzer, Katrin
          Reuken, Philipp A.
          Stallmach, Andreas
          Lewejohann, Jan-Christoph
          Lemhöfer, Christina
        affil: https://ror.org/035rzkx15 Department of Internal Medicine IV (Gastroenterology, Hepatology and Infectious Diseases), Jena University Hospital/Friedrich-Schiller-Universität Jena, Jena, Germany
      sug:
        subj:
          Dyspnea Physiopathology
          Exertion Physiology
          Post-Acute COVID-19 Syndrome Complications
          Electric Impedance Utilization
          Tomography Methods
          Therapeutic Exercise Utilization
          Adult
          Female
          Exercise Test
          Treadmills
          Respiration, Artificial
          Breathing Exercises
          Adult: 19-44 years
          Female
      ab: Purpose and method: Many post-COVID patients suffer from dyspnea on exertion. To visualize exercise-induced dyspnea, a post-COVID patient and a healthy volunteer underwent an exercise test on a treadmill under stress relevant to everyday life monitored by electrical impedance tomography (EIT). Results: The lung-healthy volunteer showed an even ventilation distribution throughout the assessment, a large ventilated area, and a butterfly-like lung shape with a convex lung rim. The post-COVID patient showed clear differences in the ventilated area compared to the control subject. During exercise, a constantly changing picture of differently ventilated areas is shown. However, especially the anterior regions were under-ventilated and larger areas were partially absent from ventilation. Overall, uncoordinated breathing and an uneven distribution of ventilation dominated the findings. Conclusion: EIT is suitable for visualizing disturbed ventilation of the lungs, both at rest and under stress. The potential as a diagnostic tool in dyspnea assessment should be investigated.
      pubtype: Academic Journal
      doctype:
        case study
        diagnostic images
        pictorial
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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