Even the healthy face risks of long COVID

Once the 'picture of health,' Savannah Brooks' post-COVID state has her confined to a wheelchair for the mildest exertion.

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Opinion

June 7, 2022 - 2:36 PM

Patient Gary Cardona wears a pulse oximeter to keep track of his oxygen intake as he works out on the treadmill during his physical therapy on March 3, 2021 in Denver, Colorado. Cardona suffers from lingering symptoms of COVID-19 with the most bothersome being what he describes as brain fog and short term memory problems. He also has problems with balance and sustaining any hard activities. He got COVID-19 in November and says he feels like he is a long hauler as he tries to deal with recovering from the disease. What he hates most is having to be on oxygen around the clock. (Photo by Helen H. Richardson/The Denver Post)

Savannah Brooks has been an athlete her whole life. She enjoys kickboxing and has trained for mixed martial arts competitions.

But in April, the 30-year-old Minneapolis woman tested positive for COVID-19. It didn’t make her sick enough to need hospitalization. Still, lingering fatigue and a racing heart rate accompanying even the mildest exertion mean she’s now relying on a wheelchair for walks around her neighborhood.

For someone who’s been the “picture of health,” post-COVID medical problems are frustrating and unnerving. Especially hard: not knowing how long it will last. “I think if this can happen to me, it can happen to anyone,” Brooks told an editorial writer.

Commendably, Brooks has been open about her health challenges. Her recent Twitter thread went viral, providing an essential public service. While many wrongly downplay COVID’s threat to healthy people, this vaccinated Minnesotan’s story illustrates how much remains unknown about the virus, particularly its potential long-term health effects.

Experts such as Mayo Clinic’s Dr. Greg Vanichkachorn have sounded the alarm about the sheer number of people who may grapple with persistent complications — even if their illness was mild. A muscular new analysis from the U.S. Centers for Disease Control and Prevention (CDC) underscores the need to take these concerns seriously.

The CDC report focused on the incidence of post-COVID conditions among Americans ages 18 and up who survived the virus. Researchers drew upon an electronic health record system that included 63.4 million unique adult records in 50 states. Included in the data were those diagnosed or with positive tests in an inpatient, emergency department or outpatient setting. A drawback: vaccination status wasn’t included in the analysis.

Two critical points emerged.

A significant percentage of adult COVID survivors experience what the CDC calls “incident conditions” that might be linked to this infection.

The severity or duration of these conditions can impact a person’s quality of life and ability to work.

The study separated adults into two groups by age: 18-64 and 65 and up. It made sense to do so. The elderly are at the greatest risk of dying from COVID, and those in this analysis were also at higher risk for lingering conditions. One in four survivors 65 or older “experienced at least one incident condition that might be attributable to previous COVID-19.”

Incident conditions affect the quality of life. The most common were respiratory symptoms and musculoskeletal pain.

But the gap between them and the younger survivors studied was narrower than might be expected. One in 5 Americans in the 18-64 group experienced an “incident condition.”

The study lists 26 incident conditions potentially linked to infection. The breadth of organs and functions that could be affected is sobering: heart attacks, heart rhythm abnormalities, pulmonary embolism, chronic kidney disease, musculoskeletal pain, neurological disorders, difficulty sleeping, as well as asthma and other respiratory symptoms.

“The most common incident conditions in both age groups were respiratory symptoms and musculoskeletal pain,’’ the study authors stated.

Overall, “COVID-19 survivors have twice the risk for developing pulmonary embolism or respiratory conditions” than those who were not infected.

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