Atemlos nach Corona – Dysfunktionale Atmung bei Long Covid

Die Folgen einer Covid-19-Infektion für das respiratorische System sind individuell und vielfältig. Viele Patient*innen scheinen außer Atem: Sie atmen durch den Mund, hyperventilieren und sind schnell aus der Puste. Um die klinischen Zeichen einer dysfunktionalen Atmung zu erkennen, ist eine intensive atemphysiotherapeutische Befundaufnahme elementar. Das häufig anzutreffende Phänomen des vorwiegend thorakal betonten Atemmusters kann durch atemphysiotherapeutische Übungen und Techniken gezielt behandelt werden.

Publication History

Article published online:
11 January 2023

• Literaturverzeichnis

• 1 Ceraolo C, Giorgi FM. Genomic variance of the 2019-nCoV coronavirus. J Med Virol 2020; 92: 522-528 DOI: 10.1002/jmv.25700.
• 2 Wölfel R, Corman VM, Guggemos W. et al Virological assessment of hospitalized patients with COVID-2019. Nature 2020; 581: 465-469 DOI: 10.1038/s41586-020-2196-x.
• 3 Shang J, Ye G, Shi K. et al Structural basis of receptor recognition by SARS-CoV-2. Nature 2020; 581: 221-224 DOI: 10.1038/s41586-020-2179-y.
• 4 Hoffmann M, Kleine-Weber H, Schroeder S. et al SARS-CoV-2 Cell Entry Depends on ACE2 and TMPRSS2 and Is Blocked by a Clinically Proven Protease Inhibitor. Cell 2020; 181: 271-280.e8 DOI: 10.1016/j.cell.2020.02.052.
• 5 Koczulla AR, Ankermann T, Behrends U. et al S1-Leitlinie Post-COVID/Long-COVID. Pneumologie 2021; 75: 869-900 DOI: 10.1055/a-1551-9734.
• 6 Benzarti W, Toulgui E, Prefaut C. et al General practitioners should provide the cardiorespiratory rehabilitation’ ‘minimum advice’ for long COVID-19 patients. Libyan J Med 2022; 17: 2009101 DOI: 10.1080/19932820.2021.2009101.
• 7 Petersen EL, Goßling A, Adam G. et al Multi-organ assessment in mainly non-hospitalized individuals after SARS-CoV-2 infection: The Hamburg City Health Study COVID programme. Eur Heart J 2022; 43: 1124-1137 DOI: 10.1093/eurheartj/ehab914.
• 8 Wang D, Hu B, Hu C. et al Clinical Characteristics of 138 Hospitalized Patients With 2019 Novel Coronavirus–Infected Pneumonia in Wuhan, China. JAMA 2020; 323: 1061 DOI: 10.1001/jama.2020.1585.
• 9 Monteil V, Kwon H, Prado P. et al Inhibition of SARS-CoV-2 Infections in Engineered Human Tissues Using Clinical-Grade Soluble Human ACE2. Cell 2020; 181: 905-913e7 DOI: 10.1016/j.cell.2020.04.004.
• 10 Cheng H, Wang Y, Wang G. Organ-protective effect of angiotensin-converting enzyme 2 and its effect on the prognosis of COVID-19. J Med Virol 2020; 92: 726-730 DOI: 10.1002/jmv.25785.
• 11 Xu Z, Shi L, Wang Y. et al Pathological findings of COVID-19 associated with acute respiratory distress syndrome. Lancet Respir Med 2020; 08: 420-422 DOI: 10.1016/S2213-2600(20)30076-X.
• 12 Reinhardt K, Scriba PC, Hallek M. Post-COVID-Syndrom (PCS). Dtsch Ärztebl 2022; 119 (41) A-1767-B-1475 doi:10.3238/arztebl.2022.Stellungnahme_PCS. Im Internet (Stand: 24.11.2022): https://www.bundesaerztekammer.de/fileadmin/user_upload/BAEK/Themen/Medizin_und_Ethik/BAEK_Stellungnahme_Post-COVID-Syndrom_ONLINE.pdf
• 13 Lopez-Leon S, Wegman-Ostrosky T, Perelman C. et al More than 50 Long-term effects of COVID-19: a systematic review and meta-analysis. Infectious Diseases (except HIV/AIDS); Sci Rep. 2021; 11: 16144 DOI: 10.1038/s41598-021-95565-8.2021.
• 14 Bharati B, Sahu KS. Post-COVID-19 Chronic Fatigue and the Role of Energy Conservation and work Simplification Techniques: An Occupational Therapy Approach. Indian J Physiother Occup Ther 2022: 16 DOI: 10.37506/ijpot.v16i1.17740
• 15 Burgess L, Venugopalan L, Badger J. et al Effect of neuromuscular electrical stimulation on the recovery of people with COVID-19 admitted to the intensive care unit: A narrative review. J Rehabil Med 2021; 53: jrm00164 DOI: 10.2340/16501977-2805.
• 16 Crook H, Raza S, Nowell J. et al Long covid—mechanisms, risk factors, and management. BMJ 2021: n1648 DOI: 10.1136/bmj.n1648
• 17 Frésard I, Genecand L, Altarelli M. et al Dysfunctional breathing diagnosed by cardiopulmonary exercise testing in ‘long COVID’ patients with persistent dyspnoea. BMJ Open Respir Res 2022; 09: e001126 DOI: 10.1136/bmjresp-2021-001126.
• 18 Taverne J, Salvator H, Leboulch C. et al High incidence of hyperventilation syndrome after COVID-19. J Thorac Dis 2021; 13: 3918-3922 DOI: 10.21037/jtd-20-2753.
• 19 Motiejunaite J, Balagny P, Arnoult F. et al Hyperventilation: A Possible Explanation for Long-Lasting Exercise Intolerance in Mild COVID-19 Survivors?. Front Physiol 2021; 11: 614590 DOI: 10.3389/fphys.2020.614590.
• 20 Weise S, Kardos P, Pfeiffer-Kascha D. et al Empfehlungen zur Atemphysiotherapie. 3. erweiterte Auflage. Oberhaching, Bad Lippspringe: Dustri-Verlag Dr. Karl Feistle und Deutsche Atemwegsliga e. V. 2019
• 21 Barker NJ, Elphick H, Everard ML. The impact of a dedicated physiotherapist clinic for children with dysfunctional breathing. ERJ Open Res 2016; 02: 00103-02015 DOI: 10.1183/23120541.00103-2015.