Return to physical activity after SARS-CoV-2 infection – in the eye of a cardiologist
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Klinika Kardiologii i Chorób Wewnętrznych CSK MON WIM, Polska
Piotr Łyżwa   

Klinika Kardiologii i Chorób Wewnętrznych CSK MON WIM, Szaserów 128, 04-141, Warszawa, Polska
Submission date: 2021-11-15
Final revision date: 2022-03-03
Acceptance date: 2022-03-04
Publication date: 2022-07-06
LW 2022;100(2):66–69
Regular physical activity is the cornerstone of cardiovascular disease prevention. The severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) pandemic has significantly reduced physical activity in the healthy population. In addition, SARS-CoV-2 infection is associated with a higher risk of cardiovascular complications than other viral infections. Return to physical activity after coronavirus disease depends primarily on severity of the illness, cardiovascular abnormalities found during the infection and intensity of the planned effort. Patients with confirmed or probable diagnosis of recent myocarditis should be advised to abstain from all forms of sport until resolution of active inflammation, and return to physical activity should be considered 3 to 6 months after resolution of symptoms, following a comprehensive cardiac evaluation. In the remaining group of patients (without diagnosed myocarditis), because of the limited follow-up time and the lack of randomised trials concerning the return to physical activity after recovery, the recommendations published so far are expert opinions. These opinions emphasise that it is important to stratify the risk and return to sport after the SARS-CoV-2 infection in a gradual, symptom--limited and individualised way.