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Review

Review on Cardiorespiratory Complications after SARS-CoV-2 Infection in Young Adult Healthy Athletes

Department of Information Engineering, Università Politecnica delle Marche, 60131 Ancona, Italy
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Author to whom correspondence should be addressed.
Int. J. Environ. Res. Public Health 2022, 19(9), 5680; https://doi.org/10.3390/ijerph19095680
Submission received: 25 February 2022 / Revised: 28 April 2022 / Accepted: 5 May 2022 / Published: 6 May 2022
(This article belongs to the Special Issue Physical Fitness and Health Outcomes throughout the Life Span)

Abstract

This review analyzes scientific data published in the first two years of the COVID-19 pandemic with the aim to report the cardiorespiratory complications observed after SARS-CoV-2 infection in young adult healthy athletes. Fifteen studies were selected using PRISMA guidelines. A total of 4725 athletes (3438 males and 1287 females) practicing 19 sports categories were included in the study. Information about symptoms was released by 4379 (93%) athletes; of them, 1433 (33%) declared to be asymptomatic, whereas the remaining 2946 (67%) reported the occurrence of symptoms with mild (1315; 45%), moderate (821; 28%), severe (1; 0%) and unknown (809; 27%) severity. The most common symptoms were anosmia (33%), ageusia (32%) and headache (30%). Cardiac magnetic resonance identified the largest number of cardiorespiratory abnormalities (15.7%). Among the confirmed inflammations, myocarditis was the most common (0.5%). In conclusion, the low degree of symptom severity and the low rate of cardiac abnormalities suggest that the risk of significant cardiorespiratory involvement after SARS-CoV-2 infection in young adult athletes is likely low; however, the long-term physiologic effects of SARS-CoV-2 infection are not established yet. Extensive cardiorespiratory screening seems excessive in most cases, and classical pre-participation cardiovascular screening may be sufficient.
Keywords: SARS-CoV-2; COVID-19; sport; cardiovascular system; respiratory system SARS-CoV-2; COVID-19; sport; cardiovascular system; respiratory system

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MDPI and ACS Style

Romagnoli, S.; Sbrollini, A.; Marcantoni, I.; Morettini, M.; Burattini, L. Review on Cardiorespiratory Complications after SARS-CoV-2 Infection in Young Adult Healthy Athletes. Int. J. Environ. Res. Public Health 2022, 19, 5680. https://doi.org/10.3390/ijerph19095680

AMA Style

Romagnoli S, Sbrollini A, Marcantoni I, Morettini M, Burattini L. Review on Cardiorespiratory Complications after SARS-CoV-2 Infection in Young Adult Healthy Athletes. International Journal of Environmental Research and Public Health. 2022; 19(9):5680. https://doi.org/10.3390/ijerph19095680

Chicago/Turabian Style

Romagnoli, Sofia, Agnese Sbrollini, Ilaria Marcantoni, Micaela Morettini, and Laura Burattini. 2022. "Review on Cardiorespiratory Complications after SARS-CoV-2 Infection in Young Adult Healthy Athletes" International Journal of Environmental Research and Public Health 19, no. 9: 5680. https://doi.org/10.3390/ijerph19095680

APA Style

Romagnoli, S., Sbrollini, A., Marcantoni, I., Morettini, M., & Burattini, L. (2022). Review on Cardiorespiratory Complications after SARS-CoV-2 Infection in Young Adult Healthy Athletes. International Journal of Environmental Research and Public Health, 19(9), 5680. https://doi.org/10.3390/ijerph19095680

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