Dr. Howard Smith Reports

Exercise Safely After CoVid


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Vidcast:  https://youtu.be/q5jIboTP-qM

 

We all know that regular exercise is the best thing you can do for your body.  If you’ve had a case of CoVid, when can you safely return to exercising.  British and Scottish sports medicine specialists weigh in with some guidelines to follow.

 

The first consideration is how severe a case of CoVid you experienced.  If it was a mild case with very few symptoms that have stopped and you feel ready to resume exercising, it is likely safe to do so.  Keeping mind, though, that the time you spent convalescing has led to some deconditioning so gradually return to your pre-illness level of exercise intensity.

 

Anyone who had a moderate case with lingering respiratory symptoms such as cough and shortness of breath should also see a personal physician.  Blood oxygen levels will likely be determined and an electrocardiogram and pulmonary function testing may be completed.  

 

If you had CoVid accompanied by symptoms of cardiac involvement such as chest pain, shortness of breath, palpitations, and feelings of fainting, you should get a cardiologist’s clearance before returning to exercising.  That would include a physical exam and a 12 lead electrocardiogram and possible referral to a cardiologist for more in-depth testing including echocardiography, blood tests for cardiac muscle injury, and stress testing.

 

Those who were hospitalized and particularly those requiring intensive care and a ventilator will require in-depth cardiac and pulmonary testing before a carefully supervised return to regular exercising due to the risks of myocarditis and/or pulmonary embolic and other diseases.

 

Once those who weren’t hospitalized seem ready for the exercise, begin with light intensity exertion for at least 2 weeks.  While you do this, you should be able to carry on a conversation.  If all goes well move on to more challenging activities starting with 5 minute blocks of brisk walking, stair climbing, jogging, swimming, or cycling.  After doing this for several weeks, you should be able to return to pre-infection activity levels.

 

https://www.bmj.com/content/372/bmj.m4721

 

#CoVid #exercise #myocarditis #pulmonaryembolism #cardiac

 

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Dr. Howard Smith ReportsBy Howard G. Smith MD, AM