![]() Long-term effects of COVID-19 occur in up to 32% of infected patients. The English NICE (National Institute for Health and Care Excellence) guidelines distinguish between acute COVID-19 illness ( 12 weeks), with the last two stages commonly grouped together as “Long-COVID”. The World Health Organization (WHO) defines “post-COVID-19” as a symptom complex with typical symptoms such as fatigue, shortness of breath and cognitive disorders, which occurs within 3 months after infection, lasts at least 2 months, can fluctuate and for which there is no explanatory explanation there is not attributed to alternative diagnoses. Once internalized, the virus replicates and matures, leading to a widespread inflammatory response with massive cytokine release. SARS-CoV-2 enters cells through interaction with angiotensin converting enzyme-2 (ACE2) receptors present in many cell types, including nasal mucosa, lungs, heart, liver, kidneys and brain, as well as arterial and venous endothelial cells. The new coronavirus SARS-CoV-2 rapidly spread around the world, turning into a pandemic. ConclusionĬomplaints related to sleep, such as insomnia and excessive sleepiness, seem to be part of the clinical post-acute syndrome (long COVID syndrome), composing part of its clinical spectrum, relating to some clinical data. We observed a high prevalence of cognitive complaints in these patients. A history of steroid use was related to sleep complaints (insomnia and excessive sleepiness), whereas depression was related to excessive sleepiness. Two patients had a diagnosis of central hypersomnia, and one had narcolepsy. Four patients with ES were evaluated with polysomnography and test, multiple sleep latencies test, and actigraphic data. Insomnia was reported by 42 patients (22.2%), and excessive sleepiness (ES) was reported by 6 patients (3.17%). ResultsĪmong 189 patients included in the long COVID sample, 48 (25.3%) had sleep-related symptoms. MethodologyĪ total of 207 patients with post-COVID symptoms were evaluated through clinical evaluation with a neurologist and specific exams in the subgroup complaining of excessive sleepiness. The present study aimed to characterize and evaluate the prevalence of sleep symptoms in patients with long COVID syndrome. This syndrome can affect up to 32% of affected individuals, with symptoms of fatigue, dyspnea, chest pain, cognitive disorders, insomnia, and psychiatric disorders. And the promise really, that a good night's sleep can help us stay healthy and well, and live a good long life.Long-onset COVID syndrome has been described in patients with COVID-19 infection with persistence of symptoms or development of sequelae beyond 4 weeks after the onset of acute symptoms, a medium- and long-term consequence of COVID-19. Jennifer Martin, American Academy of Sleep Medicine: Well, it turns out that just about any aspect of health that we might consider is affected by how we sleep, how healthy our heart is, our mental health, our physical well-being or ability to manage our weight and make healthy food choices, our immune system, our brain, as science evolves, we're just learning more and more about why those changes are occurring. Martin, what are we learning? Or what have we learned? Or what are we learning now about the relationship between sleep and overall health?ĭr. Jennifer Martin is a professor at the UCLA Medical School and president of the American Academy of Sleep Medicine. New research suggests that this near musical timing of the human body is crucial. It also fosters other physical mental and behavioral changes, for example, what time of day you'll have the quickest reaction time, or the most muscle strength, or when the body releases melatonin to prepare for sleep. It regulates when we feel alert and when we feel sleepy. We all have a 24-hour internal clock in our brains a circadian rhythm. According to the American Academy of Sleep Medicine, 50 to 70 million Americans struggle with chronic sleep disorders. Getting a good night's sleep is easier said than done. ![]()
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