post covid complications

2. POST COVID COMPLICATIONS
The Unknown Journey Ahead
There have been variable long term outcomes of the patients who have recovered
from COVID-19

3. POST-ACUTE COVID-19,
• Similar to post-Acute viral syndromes described in survivors of other
virulent coronavirus epidemics, there are increasing reports of
persistent and prolonged effects after acute COVID-19.
• The term Post-Acute COVID-19 is used in this scenario, which is a
syndrome characterized by –
persistent symptoms and/or delayed or long-term complications in
COVID patients beyond 4 weeks from the onset of symptoms.

4. Terminologies
Based on recent literature, Post-Acute COVID-19 is further divided into two
categories:
a. Subacute or Ongoing symptomatic or Long COVID-19 –
Which includes symptoms and abnormalities present from 4-12 weeks
beyond acute COVID-19
b. Chronic or Post-COVID-19 syndrome –
Which includes symptoms and abnormalities persisting or present beyond 12
weeks of the onset of acute COVID-19 and not attributable to alternative
diagnoses

5. What is most interesting and
fascinating is that
• Patient advocacy groups, many members of which identify
themselves as long haulers, have helped contribute to the
recognition of post-acute COVID-19

6. Social Media Reports and Groups
• We need to be believed, helped, treated with compassion and
supported by those around us.

7. Personal Accounts In Journals

8. Long Covid Support

10. Pathophysiology of Post-Acute COVID-19
Potential mechanisms include:
a. Virus-specific Pathophysiologic changes
Which are direct viral toxicity causing endothelial damage and microvascular injury
b. Immunologic Aberrations and inflammatory damage In response to the acute infection,
the hypercoagulable state and
C .Expected sequelae of post-critical illness which involves
1.Microvascular ischemia and injury,
2.Effects of immobility
3.Metabolic alterations during critical illness

11. Interesting, right?
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