Long COVID Syndrome: A Case-Control Study

Rachel-Anne Xuereb1, Marica Borg2, Kevin Vella2

  • 1Mater Dei Hospital, Msida, Malta; University of Malta Medical School, Msida.

Insights

Post-COVID-19 patients experience persistent symptoms and ongoing inflammation for months after infection. This study highlights medium-term cardiovascular sequelae and their association with inflammation markers like high-sensitivity C-reactive protein (hsCRP).

Area of Science:

  • Cardiology
  • Infectious Diseases
  • Public Health

Background:

  • Acute COVID-19 (coronavirus disease 2019) is linked to cardiovascular complications.
  • Long-term cardiovascular effects post-COVID-19 remain largely unknown.
  • Investigating medium-term sequelae is crucial for patient management.

Purpose of the Study:

  • Assess symptomatology and health-related quality of life (HRQoL) at 6 months post-COVID-19.
  • Determine if COVID-19 history and persistent shortness of breath correlate with inflammation, endothelial dysfunction, and cardiac injury.
  • Evaluate ongoing systemic inflammation markers in post-COVID-19 patients.

Main Methods:

  • Case-control study comparing 174 COVID-19 survivors with 75 age- and gender-matched controls.
  • Interviews to assess symptoms and HRQoL using the Short Form Survey-36.
  • Biochemical tests including high-sensitivity C-reactive protein (hsCRP), troponin I, and hemoglobin levels.

Main Results:

  • COVID-19 survivors reported increased shortness of breath, fatigue, arthralgia, and altered taste/smell compared to controls.
  • Cases showed significantly higher hsCRP levels, positively correlated with time post-infection.
  • Persistent shortness of breath was associated with age, female gender, white cell count, troponin I, and lower hemoglobin.

Conclusions:

  • Post-COVID-19 patients exhibit persistent symptoms at medium-term follow-up.
  • Elevated hsCRP and its association with time indicate ongoing systemic inflammation for months.
  • Findings suggest potential for medium-term cardiovascular sequelae requiring further investigation.
Abstract

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