{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,11]],"date-time":"2026-09-11T16:03:47Z","timestamp":1789142627874,"version":"build-2803163510"},"reference-count":51,"publisher":"MDPI AG","issue":"7","license":[{"start":{"date-parts":[[2024,6,26]],"date-time":"2024-06-26T00:00:00Z","timestamp":1719360000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"name":"Centro de Investigaciones Cl\u00ednicas (CIC)","award":["TQ-2021-1756"],"award-info":[{"award-number":["TQ-2021-1756"]}]},{"name":"Tecnoquimicas S.A.","award":["TQ-2021-1756"],"award-info":[{"award-number":["TQ-2021-1756"]}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Viruses"],"abstract":"<jats:p>Long COVID presents with diverse symptoms after COVID-19. Different clusters of symptoms have been reported; however, their persistence beyond 2 years after COVID-19 remains unclear. In this cohort study, we prospectively evaluated individuals with previous severe COVID-19 presenting with long COVID at a two-year follow-up. We characterized the included patients and performed a cluster analysis of symptoms through multiple correspondence analysis and hierarchical clustering. A total of 199 patients with long COVID were included. The median age was 58 years (48\u201369), 56% were male, and the median follow-up time since the COVID-19 diagnosis was 26 months (IQR: 25, 27). Three symptom clusters were identified: Cluster 1 is characterized by fatigue, myalgia\/arthralgia, a low prevalence of symptoms, and a lack of specific symptoms; Cluster 2 is defined by a high prevalence of fatigue, myalgia\/arthralgia, and cardiorespiratory symptoms, including palpitations, shortness of breath, cough, and chest pain; and Cluster 3 is demonstrated a high prevalence of ageusia, anosmia, fatigue, and cardiorespiratory symptoms. Our study reinforces the concept of symptom clustering in long COVID, providing evidence that these clusters may persist beyond two years after a COVID-19 diagnosis. This highlights the chronic and debilitating nature of long COVID and the importance of developing strategies to mitigate symptoms in these patients.<\/jats:p>","DOI":"10.3390\/v16071028","type":"journal-article","created":{"date-parts":[[2024,6,26]],"date-time":"2024-06-26T07:20:06Z","timestamp":1719386406000},"page":"1028","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":11,"title":["Long COVID Clusters of Symptoms Persist beyond Two Years after Infection: Insights from the CARDIO COVID 20\u201321 Registry"],"prefix":"10.3390","volume":"16","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-3601-3279","authenticated-orcid":false,"given":"Juan Pablo","family":"Arango-Ibanez","sequence":"first","affiliation":[{"name":"Centro de Investigaciones Cl\u00ednicas (CIC), Fundaci\u00f3n Valle del Lili, Cali 760032, Colombia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Brayan Daniel","family":"C\u00f3rdoba-Melo","sequence":"additional","affiliation":[{"name":"Centro de Investigaciones Cl\u00ednicas (CIC), Fundaci\u00f3n Valle del Lili, Cali 760032, Colombia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Juliana Mar\u00eda","family":"Guti\u00e9rrez Posso","sequence":"additional","affiliation":[{"name":"Centro de Investigaciones Cl\u00ednicas (CIC), Fundaci\u00f3n Valle del Lili, Cali 760032, Colombia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mario Miguel","family":"Barbosa-Rengifo","sequence":"additional","affiliation":[{"name":"Centro de Investigaciones Cl\u00ednicas (CIC), Fundaci\u00f3n Valle del Lili, Cali 760032, Colombia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Cesar J.","family":"Herrera","sequence":"additional","affiliation":[{"name":"Departamento de Cardiolog\u00eda, Centros de Diagn\u00f3stico y Medicina Avanzada y de Conferencias M\u00e9dicas y Telemedicina (CEDIMAT), Santo Domingo F3QG+PJ6, Dominican Republic"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0001-9322-629X","authenticated-orcid":false,"given":"Miguel Angel","family":"Quintana Da Silva","sequence":"additional","affiliation":[{"name":"Departamento de Cardiolog\u00eda, Instituto Cardiovascular Sanatorio MIGONE, Asunci\u00f3n 1541, Paraguay"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Andr\u00e9s Felipe","family":"Buitrago","sequence":"additional","affiliation":[{"name":"Departamento de Cardiolog\u00eda, Fundaci\u00f3n Santa Fe, Bogota 110111, Colombia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mar\u00eda Lorena","family":"Coronel Gilio","sequence":"additional","affiliation":[{"name":"Departamento de Cardiolog\u00eda, Instituto de Cardiolog\u00eda J. F. Cabral, Corrientes 3400, Argentina"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Freddy","family":"Pow-Chong-Long","sequence":"additional","affiliation":[{"name":"Departamento de Cardiolog\u00eda, Hospital Luis Vernaza, Guayaquil 090306, Ecuador"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6635-6224","authenticated-orcid":false,"given":"Juan Esteban","family":"G\u00f3mez-Mesa","sequence":"additional","affiliation":[{"name":"Centro de Investigaciones Cl\u00ednicas (CIC), Fundaci\u00f3n Valle del Lili, Cali 760032, Colombia"},{"name":"Facultad de Ciencias de la Salud, Universidad Icesi, Cali 760031, Colombia"},{"name":"Departamento de Cardiolog\u00eda, Fundaci\u00f3n Valle del Lili, Cali 760032, Colombia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1968","published-online":{"date-parts":[[2024,6,26]]},"reference":[{"key":"ref_1","unstructured":"(2023, November 10). 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