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The effects of enhanced external counter-pulsation on post-acute sequelae of COVID-19: A narrative review.

作者信息

Huang Jiecheng, Fan Yuxuan, Wang Yongshun, Liu Jingjin

机构信息

The Second Clinical Medical College, Jinan University, Shenzhen, Guangdong, China.

Department of Rehabilitation, Tongji Hospital Affiliated to Tongji University, Tongji University School of Medicine, Shanghai, China.

出版信息

Open Med (Wars). 2025 Jan 9;20(1):20241067. doi: 10.1515/med-2024-1067. eCollection 2025.


DOI:10.1515/med-2024-1067
PMID:39802655
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11716443/
Abstract

Some of the millions of patients infected with severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) have developed new sequelae after recovering from the initial disease, termed post-acute sequelae of coronavirus disease 2019 (PASC). One symptom is anxiety, which is likely due to three etiologies: brain structural changes, neuroendocrine disruption, and neurotransmitter alterations. This review provides an overview of the current literature on the pathophysiological pathways linking coronavirus disease 2019 to anxiety, as well as the possible mechanisms of action in which an increasingly scrutinized treatment method, enhanced external counter-pulsation (EECP), is able to alleviate anxiety. SARS-CoV-2 triggers increased inflammatory cytokine production, as well as oxidative stress; these processes contribute to the aforementioned three etiologies. The potential treatment approach of EECP, involving sequenced inflation and deflation of specifically-placed airbags, has become of increasing interest, as it has been found to alleviate PASC-associated anxiety by improving patient cardiovascular function. These functional improvements were achieved by EECP stimulating anti-inflammatory and pro-angiogenic processes, as well as improving endothelial cell function and coronary blood flow, partially via counteracting against the negative effects of SARS-CoV-2 infection on the renin-angiotensin-aldosterone system. Therefore, EECP could promote both psychosomatic and cardiac rehabilitation. Further research, though, is still needed to fully determine its benefits and mechanism of action.

摘要
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/06da/11716443/53b1d326623b/j_med-2024-1067-fig001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/06da/11716443/53b1d326623b/j_med-2024-1067-fig001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/06da/11716443/53b1d326623b/j_med-2024-1067-fig001.jpg

相似文献

[1]
The effects of enhanced external counter-pulsation on post-acute sequelae of COVID-19: A narrative review.

Open Med (Wars). 2025-1-9

[2]
Enhanced External Counterpulsation as a Novel Treatment for Post-acute COVID-19 Sequelae.

Cureus. 2021-4-7

[3]
Enhanced External Counterpulsation (EECP): An Evidence-Based Analysis.

Ont Health Technol Assess Ser. 2006

[4]
The Neurological Manifestations of Post-Acute Sequelae of SARS-CoV-2 infection.

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[5]
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[6]
Neurological post-acute sequelae of SARS-CoV-2 infection.

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[7]
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[8]
Immune mechanisms underlying COVID-19 pathology and post-acute sequelae of SARS-CoV-2 infection (PASC).

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[9]
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[10]
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引用本文的文献

[1]
Role of enhanced external counterpulsation in long COVID.

Open Med (Wars). 2025-6-16

本文引用的文献

[1]
Immune activation and immune-associated neurotoxicity in Long-COVID: A systematic review and meta-analysis of 103 studies comprising 58 cytokines/chemokines/growth factors.

Brain Behav Immun. 2024-11

[2]
Enhanced external counterpulsation for management of symptoms associated with long COVID.

Am Heart J Plus. 2022-2-12

[3]
Blood Markers Show Neural Consequences of LongCOVID-19.

Cells. 2024-3-8

[4]
The global prevalence of depression, anxiety, and sleep disorder among patients coping with Post COVID-19 syndrome (long COVID): a systematic review and meta-analysis.

BMC Psychiatry. 2024-2-6

[5]
Enhanced External Counterpulsation Improves Cognitive Function of Persons With Long COVID.

Am J Phys Med Rehabil. 2024-8-1

[6]
Biomarkers of oxidative stress and inflammation in subjects with COVID-19: Characterization and prognosis of the disease.

Microb Pathog. 2023-11

[7]
The Effect of EECP on Ischemic Heart Failure: a Systematic Review.

Curr Cardiol Rep. 2023-10

[8]
Cerebrospinal fluid cytokines in COVID-19: a review and meta-analysis.

J Neurol. 2023-11

[9]
High expression of IL6 and decrease in immune cells in COVID-19 patients combined with myocardial injury.

Front Immunol. 2023-7-26

[10]
The Cortico-Limbo-Thalamo-Cortical Circuits: An Update to the Original Papez Circuit of the Human Limbic System.

Brain Topogr. 2023-5

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