Review: The autonomic aspects of the post-COVID19 syndrome, 2022, Dotan et al

Highlights
• Close to 20 distinct functionally active autoantibodies which target GPCR of the nervous system and renin-angiotensin system-related molecules were found significantly associated with the clinical severity of COVID-19

• Numerous clinical and laboratory similarities exist between post-COVID19 syndrome, fibromyalgia, and chronic fatigue syndrome

• Autoimmune-mediated autonomic nervous system dysfunction may play a significant role in the pathogenesis of post-COVID19 syndrome, similarly to fibromyalgia and chronic fatigue syndrome

• Therapeutic options such as immunomodulatory and immunosuppressive therapy could be favorable for some post-COVID19 patients, while plasmapheresis and IVIG could be considered in severe cases

• Physical exercise has been found to stabilize the autonomic nervous system; thus, exercise therapy might be a safer and more effective remedy for the post-COVID19 syndrome in comparison to other therapeutic options

Abstract

The SARS-CoV-2 outbreak, responsible for the widespread COVID-19, led to one of the most rogue pandemics in modern time, yet the major effects of the pandemic may still be ahead of us. SARS-CoV-2 had been found to possess autoimmune properties. Close to 20 distinct functionally active autoantibodies which target GPCR of the nervous system and renin-angiotensin system-related molecules were found significantly associated with the clinical severity of COVID-19. The new on-set of more than 10 various autoimmune disorders were documented as well. Additionally, clinical presentations of persisted symptoms were triggered in numerous recently recovered COVID-19 patients, which led to the formulation of the novel term “post-COVID19 syndrome”. Manifestations related to post-COVID-19 syndrome exist among approximately 50–80% of symptomatic COVID-19 patients who recovered, and among patients reported more than 50 different long-term effects of the SARS-CoV-2 infection. Many of the common symptoms of the post-COVID19 syndrome are not explained by the virus-related injury alone. Similarly to chronic fatigue syndrome and fibromyalgia, autoimmune-mediated autonomic nervous system dysfunction may play a significant part in the pathogenesis of such symptoms, including chronic fatigue, cognitive impairment, mood related disorders, and numerous more. Importantly, therapeutic options such as immunomodulatory and immunosuppressive therapy may favor some post-COVID19 patients, while plasmapheresis and IVIG could be considered in severe cases. Nevertheless, as physical exercise has been found to stabilize the autonomic nervous system, exercise therapy might be a safer and more effective remedy for the post-COVID19 syndrome.

Open access, https://www.sciencedirect.com/science/article/pii/S1568997222000416

 

The senior author has never found knowing nothing about a subject an obstacle to publication.

 

Does it also detoxify, uh, toxins and cleanse auras? Stabilize what according to what?

The citations for that evidence? The Cochrane review and PACE. Pfffft.

This is false:

They are commonly reported, they are simply considered normal. Somehow. Also another false claim: none are controlled. This isn't a matter of using RCT with the intent of confounding controlled and clinical, it's explicitly false.

Circular failure, literally inspired by failure, they want more failure: