Ventilation and perfusion abnormalities in the post-recovery phase of noncritical COVID-19

A small lung functional imaging study shows that ventilation is impaired in patients with no history of lung disease recovering from noncritical COVID-19.

Study

A study was conducted to assess the prevalence and clinical relevance of ventilation (V) and perfusion (Q) impairment in individuals with no history of lung disease 4-weeks after recovery from noncritical COVID-19.

Study findings

Hospitalization and isolation

  • that 9/25 post-COVID-19 patients were hospitalized and 16/25 of them were home isolated during acute infection

Ventilation defects

  • 88% of the hospitalized vs. 44% of home-isolated participants of the post-COVID-19 groups vs. 30% in controls

Ventilatio- associated heterogeneity

  • Greater in hospitalized (P = 0.003), but not home-isolated participants, compared to the never-COVID-19 controls

A correlation was established between post-COVID-19 ventilation-heterogeneity and the dyspnea-scale, SGRQ-score, 6MWD, SpO2, CT parenchymal opacities, and neutrophil percentage.

The study provides evidence for the presence of ventilation impairment in post-COVID-19 patients that had a positive relationship with parenchymal opacities, respiratory symptoms and exercise-capacity.

Reference: Venegas C, Marriott CJ, Ho T, et al. Presented in the Canadian Respiratory Conference, April 7-9, 2022.