- Author:
Alejandro Figar GUTIÉRREZ
1
;
Francisco C. BONOFIGLIO
;
John George KARIPPACHERIL
;
Francisco O. REDELICO
;
Maria de Los Angeles ITURRALDE
Author Information
- Publication Type:Case Report
- From:Korean Journal of Anesthesiology 2022;75(1):86-96
- CountryRepublic of Korea
- Language:English
-
Abstract:
Background:To detect an early increase in the inflammatory response might prove to be vital for mitigating the deleterious effects of the disease over time.Case: A 52-year-old obese man with moderate asthma and hypertension, who developed COVID-19 and had moderate symptoms, used a wearable device to record heart rate variability (HRV) during his illness. He had low parasympathetic tone, which decreased daily until it reached almost 2 standard deviations (SD) below normal values at the end of the second week. His sympathetic tone increased from > 3 SD to > 5 SD.
Conclusions:These findings suggest an altered modulation of the sympathetic and parasympathetic nervous systems in COVID-19, such that the sympathetic tone is augmented and the parasympathetic tone is reduced. Population norms of COVID-19 infections should be further studied over the short-term and using 24 h HRV measurements.