{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,28]],"date-time":"2026-02-28T04:33:06Z","timestamp":1772253186715,"version":"3.50.1"},"reference-count":29,"publisher":"Sociedade Brasileira de Cardiologia","issue":"9","license":[{"start":{"date-parts":[[2025,1,1]],"date-time":"2025-01-01T00:00:00Z","timestamp":1735689600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2025,1,1]],"date-time":"2025-01-01T00:00:00Z","timestamp":1735689600000},"content-version":"am","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2025,1,1]],"date-time":"2025-01-01T00:00:00Z","timestamp":1735689600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Arq. Bras. Cardiol."],"abstract":"<jats:p>Resumo  Fundamento: A pandemia de covid-19 afetou milh\u00f5es de pessoas em todo o mundo, com impactos persistentes que se estendem al\u00e9m da fase aguda. Um desses efeitos \u00e9 a condi\u00e7\u00e3o conhecida como p\u00f3s-covid (ou covid longa), caracterizada por sintomas como fadiga e intoler\u00e2ncia ao exerc\u00edcio com dura\u00e7\u00e3o superior a 60 dias. Embora o exerc\u00edcio f\u00edsico regular esteja associado \u00e0 redu\u00e7\u00e3o do risco de desfechos graves, relatos de queda no desempenho atl\u00e9tico ap\u00f3s a infec\u00e7\u00e3o \u2014 mesmo entre indiv\u00edduos altamente ativos (IAAs) \u2014 t\u00eam gerado preocupa\u00e7\u00f5es quanto aos efeitos de longo prazo sobre a sa\u00fade f\u00edsica. O teste de esfor\u00e7o cardiopulmonar (TECP) \u00e9 uma ferramenta valiosa para avaliar a intoler\u00e2ncia ao exerc\u00edcio e investigar as consequ\u00eancias metab\u00f3licas e ventilat\u00f3rias da covid-19.  Objetivo: Avaliar o impacto da covid-19 na fun\u00e7\u00e3o cardiopulmonar de IAAs por meio da an\u00e1lise das respostas metab\u00f3licas e ventilat\u00f3rias obtidas em TECP realizado antes e ap\u00f3s a infec\u00e7\u00e3o.  M\u00e9todos: Foram analisados retrospectivamente dados de TECP de IAAs de ambos os sexos. Os desfechos prim\u00e1rios inclu\u00edram altera\u00e7\u00f5es no consumo m\u00e1ximo de oxig\u00eanio (    V \u22c5O2pico) e na efici\u00eancia ventilat\u00f3ria (rela\u00e7\u00e3o     V \u22c5E\/    V \u22c5CO2). O n\u00edvel de signific\u00e2ncia estat\u00edstica foi estabelecido em 5% (p &lt; 0,05).  Resultados: Foram inclu\u00eddos 43 IAAs (72,1% do sexo masculino; 44 \u00b1 10 anos). O intervalo mediano entre os testes foi de 479 dias, sendo o segundo TECP realizado em m\u00e9dia 44 \u00b1 27 dias ap\u00f3s a infec\u00e7\u00e3o por covid-19. Observou-se uma redu\u00e7\u00e3o m\u00e9dia de 1,5 ml\/kg\/min no     V \u22c5O2pico (p = 0,017), correspondendo a uma diminui\u00e7\u00e3o de 3,84% nos valores previstos de     V \u22c5O2pico (p = 0,045). A rela\u00e7\u00e3o     V \u22c5E\/    V \u22c5CO2 aumentou em m\u00e9dia 1,2 (p = 0,017).  Conclus\u00e3o: Embora os IAAs n\u00e3o sejam imunes aos efeitos da covid-19, seu elevado n\u00edvel basal de atividade f\u00edsica parece conferir uma consider\u00e1vel resili\u00eancia cardiopulmonar. As altera\u00e7\u00f5es observadas ap\u00f3s a infec\u00e7\u00e3o foram m\u00ednimas, sugerindo que a manuten\u00e7\u00e3o da aptid\u00e3o f\u00edsica pode oferecer benef\u00edcios protetores contra sequelas prolongadas da doen\u00e7a.<\/jats:p>","DOI":"10.36660\/abc.20250094","type":"journal-article","created":{"date-parts":[[2025,11,19]],"date-time":"2025-11-19T14:09:34Z","timestamp":1763561374000},"source":"Crossref","is-referenced-by-count":0,"title":["Resili\u00eancia Cardiopulmonar em Indiv\u00edduos Altamente Ativos: An\u00e1lise de Testes de Esfor\u00e7o Cardiopulmonar Pr\u00e9 e P\u00f3s-Covid-19"],"prefix":"10.36660","volume":"122","author":[{"given":"Fabr\u00edcio","family":"Braga","sequence":"first","affiliation":[{"name":"Laborat\u00f3rio de Performance Humana,  Brasil; Universidade do Estado do Rio de Janeiro,  Brasil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Gabriel","family":"Espinosa","sequence":"additional","affiliation":[{"name":"Laborat\u00f3rio de Performance Humana,  Brasil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Amanda","family":"Monteiro","sequence":"additional","affiliation":[{"name":"Laborat\u00f3rio de Performance Humana,  Brasil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3688-2108","authenticated-orcid":false,"given":"Mauricio","family":"Milani","sequence":"additional","affiliation":[{"name":"Universidade de Bras\u00edlia (UnB),  Brasil; Hasselt University,  B\u00e9lgica; Heart Centre Hasselt, Jessa Hospital,  B\u00e9lgica"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Juliana","family":"Paiva","sequence":"additional","affiliation":[{"name":"Laborat\u00f3rio de Performance Humana,  Brasil; Universidade Federal do Rio de Janeiro,  Brasil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Juliana Goulart Prata Oliveira","family":"Milani","sequence":"additional","affiliation":[{"name":"Universidade de Bras\u00edlia (UnB),  Brasil; Hasselt University,  B\u00e9lgica"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6327-1428","authenticated-orcid":false,"given":"Leandro","family":"Franzoni","sequence":"additional","affiliation":[{"name":"Universidade Federal do Rio Grande do Sul,  Brasil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ricardo","family":"Stein","sequence":"additional","affiliation":[{"name":"Universidade Federal do Rio Grande do Sul,  Brasil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6323-7003","authenticated-orcid":false,"given":"Gerson","family":"Cipriano Jr.","sequence":"additional","affiliation":[{"name":"Universidade de Bras\u00edlia,  Brasil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jonas L\u00edrio","family":"Gurgel","sequence":"additional","affiliation":[{"name":"Laborat\u00f3rio de Performance Humana,  Brasil; Universidade Federal Fluminense,  Brasil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2501-302X","authenticated-orcid":false,"given":"Ricardo","family":"Mourilhe-Rocha","sequence":"additional","affiliation":[{"name":"Universidade do Estado do Rio de Janeiro,  Brasil; Complexo Hospitalar Am\u00e9ricas- Vit\u00f3ria e Samaritano Barra,  Brasil"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"22636","published-online":{"date-parts":[[2025]]},"reference":[{"key":"ref1","series-title":"COVID-19 Data Explorer [Internet]","year":"2025"},{"issue":"6","key":"ref2","doi-asserted-by":"crossref","first-page":"603","DOI":"10.1001\/jama.2020.12603","article-title":"Gemelli Against COVID-19 Post-Acute Care Study Group. 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