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Impact of the COVID-19 pandemic on clinical autonomic practice in Europe A survey of the European Academy of Neurology (EAN) and the European Federation of Autonomic Societies (EFAS) (CROSBI ID 325490)

Prilog u časopisu | izvorni znanstveni rad | međunarodna recenzija

Fanciulli, Alessandra ; Leys, Fabian ; Krbot Skorić, Magdalena ; Reis Carneiro, Diogo ; Calandra‐Buonaura, Giovanna ; Camaradou, Jennifer ; Chiaro, Giacomo ; Cortelli, Pietro ; Falup‐ Pecurariu, Cristian ; Granata, Roberta et al. Impact of the COVID-19 pandemic on clinical autonomic practice in Europe A survey of the European Academy of Neurology (EAN) and the European Federation of Autonomic Societies (EFAS) // European journal of neurology, 30 (2023), 6; 1712-1726. doi: 10.1111/ene.15787

Podaci o odgovornosti

Fanciulli, Alessandra ; Leys, Fabian ; Krbot Skorić, Magdalena ; Reis Carneiro, Diogo ; Calandra‐Buonaura, Giovanna ; Camaradou, Jennifer ; Chiaro, Giacomo ; Cortelli, Pietro ; Falup‐ Pecurariu, Cristian ; Granata, Roberta ; Guaraldi, Pietro ; Helbok, Raimund ; Hilz, Max J. ; Iodice, Valeria ; Jordan, Jens ; Kaal, Evert C. A. ; Kamondi, Anita ; Pavy Le Traon, Anne ; Rocha, Isabel ; Sellner, Johann ; Senard, Jean Michel ; Terkelsen, Astrid ; Wenning, Gregor K. ; Moro, Elena ; Berger, Thomas ; Thijs, Roland D. ; Struhal, Walter ; Habek, Mario ; Adamec, Ivan ; Aerts, Arnaud ; Campese, Nicole ; Canta, Leo L. R. ; Delamont, Robert Shane ; de Lange, Frederik ; Del Sorbo, Francesca ; Devigili, Grazia ; Di Leo, Rita ; Dinh, Trang ; Fortrat, Jacques‐Olivier ; Gierthmühlen, Janne ; Hemels, Martin ; Köhn, Julia ; Krøigård, Thomas ; Lipp, Axel ; Maier, Andrea ; Marinelli, Lucio ; Mazzeo, Anna ; Milenkovic, Ivan ; Motyl, Maciej ; Sora, Maria Grazia Natali ; Navarro‐Otano, Judith ; Nilsen, Kristian Bernhard ; Oliveira, Mario ; Omland, Petter Moe ; Pelliccioni, Giuseppe ; Pereon, Yann ; Resch, Roland Josef ; Rocchi, Camilla ; Roche, Frederic ; Rutten, Joost ; Tijero‐Merino, Beatriz ; Tutaj, Marcin ; van der Heijden‐Montfroy, A. M. H. G. ; van Hoeve, Bas J. A. ; van Orshoven, Narender ; Wang, Ruihao ; Graggen, Werner J. Z’. ; the Collaborators of European Network of Neurological ANS laboratories

engleski

Impact of the COVID-19 pandemic on clinical autonomic practice in Europe A survey of the European Academy of Neurology (EAN) and the European Federation of Autonomic Societies (EFAS)

Objective: To investigate the impact of the coronavirus-disease-2019 (COVID-19) pandemic on European clinical autonomic practice. Methods: Eighty-four neurology-driven or interdisciplinary autonomic centers in 22 European countries were invited to fill in a web-based survey between September and November 2021. Results: Forty-six centers completed the survey (55%). During the first pandemic year, the number of performed tilt-table tests, autonomic outpatient and inpatient visits decreased respectively by 50%, 45% and 53%, and every-third center reported major adverse events due to postponed examinations or visits. The most frequent newly-diagnosed or worsened cardiovascular autonomic disorders after COVID-19 infection included postural orthostatic tachycardia syndrome (POTS), orthostatic hypotension, and recurrent vasovagal syncope, deemed likely related to the infection by ≥50% of the responders. Forty-seven percent of the responders also reported about people with new- onset of orthostatic intolerance, but negative tilt-table findings, and 16% about people with psychogenic pseudosyncope after COVID-19. Most patients were treated non-pharmacologically and symptomatic recovery at follow-up was observed in ≥45% of cases. By contrast, low frequencies of newly-diagnosed cardiovascular autonomic disorders following COVID-19 vaccination were reported, most frequently POTS and recurrent vasovagal syncope, and most of the responders judged a causal association unlikely. Non-pharmacological measures were the preferred treatment choice, with 50-100% recovery rates at follow-up. Conclusions: Cardiovascular autonomic disorders may develop or worsen following a COVID-19 infection, while the association with COVID-19 vaccines remains controversial. Despite the severe pandemic impact on European clinical autonomic practice, a specialized diagnostic work-up was pivotal to identify non-autonomic disorders in people with post-COVID-19 orthostatic complaints.

COVID-19 infection ; vaccination ; POTS ; autonomic nervous system ; orthostatic hypotension ; postural orthostatic tachycardia syndrome ; syncope

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Podaci o izdanju

30 (6)

2023.

1712-1726

objavljeno

1351-5101

10.1111/ene.15787

Povezanost rada

Elektrotehnika, Kliničke medicinske znanosti

Poveznice
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