How long do you have to wait – and when is it dangerous

Many people still feel weak and lack energy long after they have contracted the coronavirus. Photo: iStockphoto/Youngoldman

Your questions – our answers

Julia Janachek

Some lie flat for weeks, others have a mild cold: Corona disease can manifest itself completely differently in each person. Currently in Germany there are about 1.6 million patients recovering from Covid 19 – the number continues to grow. But how do people feel when they are healthy again?

Baden-Württemberg’s environment minister, Tekla Walker, is currently out for a few weeks due to an inflammation of the heart muscle called myocarditis. But it is difficult to record the exact number of cases of Long Covid, as not all infected people go to a doctor or to a rehabilitation clinic.

Possible prolonged covid symptoms

– pain in chest
– Cough
– pain in the joints
Frequent fever
Muscle pain
– Tired
Depression and anxiety

The latest studies show that even young, fit people have health problems long after an injury. In a data donation project by two researchers at Humboldt University Berlin and the Robert Koch Institute, more than 190,000 active users have shared their fitness data via their tracker using a data app since April 2020.

The result: Even weeks after contracting coronavirus, the people tested were less active. The daily number of steps was more than a thousand steps lower, and the average resting heart rate was higher for more than 120 days on average. “Obviously, the heart has to compensate for the damage the infection has done to the bodyDirk Brockmann of SZ says: “The character of Long Covid should not be underestimated.”

Those who have been vaccinated get back in shape more quickly

“On average, vaccinated people show fewer changes in their vital signs and return to normal levels more quickly,” says Brockmann. The resting pulse recovered after three to six weeks and not after eleven weeks as in unvaccinated subjects. On average, the vaccinated people were as active four weeks later as they were before infection, while it took six to eleven weeks for the unvaccinated.

The data from the app is not representative, as learners and those with a strong belief in science tend to be involved in such projects, and fitness trackers are more likely to be owned by young people. However, the data from the Berlin app matches the results of a survey conducted in Great Britain. In it, 38 percent of those surveyed said they still had at least one symptom of COVID-19 after twelve weeks of surviving infection, and 15 percent up to three.

We spoke to Dr. Lutz Grumman, MD, Physician of Sports Medicine, Chiropractic and Nutritional Medicine, What you should consider if you want to exercise again after contracting COVID-19.

How long can I not do any sports after being infected with Corona?

The most important thing when returning to sports after being infected with Corona is patience. This can be very difficult, especially for athletes, but it is very important, explains the sports doctor. If you start too early, you may risk harm to your health. Even with an asymptomatic course, it should be ten days of rest.

Measuring your heart rate in the morning can provide additional information about how healthy you are again. If you want to know more about it, you can take a heart rate variability measurement, with which you can see if and when your resting heart rate has decreased again.

Regardless of the severity of the disease, Grumman recommends waiting for “complete freedom from symptoms” rather than just waiting for a negative test resultn. It’s best to be symptom-free for seven days. “I have to wait until the body is fighting the virus itself and the immune system can do its job,” Grumman says. Only then should you think about sports again.

The expert says:

“Most of the time, if you ever take the PCR test, just wait for the test to turn negative again. If you start exercising again right away, there is a big risk that you will get excited very soon, so the only thing is What I would do is warn you, stick to this protocol and there is less chance of something bad happening.”

How do I return to training after Corona?

Grauman has figured out exactly how to start exercise again in a protocol based on a study from England, Following the guidelines of the research group Elliott et al. This is a scientific group dedicated to them The Return to Play Protocol focused on the reintegration of athletes after contracting COVID-19 diseases.

This sports protocol includes six levels and provides A step-by-step guide and facility for getting back into sports. After a few days you can increase your performance again.

Return to business and sports management is aimed primarily at people with mild and moderate exacerbations of the disease. “But you still shouldn’t underestimate this infection,” says Gruman. “We’re still seeing late cases, which means people can’t go back to sports right away and people who need a longer break.”

“No one should underestimate this infection.”

Initially, Grumman recommends starting with 15 minutes of jogging or biking, “in a range where I can easily hold a conversation.” This is best followed by an interval load, that is, a short duration with a slightly faster movement. Meanwhile, one should be aware of possible physical symptoms such as shortness of breath or heart palpitations.

What are the symptoms that I should not exercise with?

If symptoms return on the way back to sports with light exertion, you should return to the starting level. Graumann also recommends seeking medical treatment in this case, having your blood drawn and examining your heart with an electrocardiogram. “What we always see is the heart beating a little irregularly and making a few extra beats. Something like that needs clarification,” says the expert.

A sudden drop in fitness after a good phase after a corona infection is a clear sign that you have outgrown yourself and are stressing yourself out very quickly.

Grauman says:

“Many patients describe heart palpitations. They notice the heart doing strange things, and increased tiredness or pain when climbing stairs.”

“What we always see is the heart is beating a little irregularly and making a few extra beats.”

Another symptom in the early stages of sports is heaviness in the legs or joint pain, even after light exertion. “If you exercise, you should be able to handle that slight pressure easily the first two or three levels the next day. But for many, that means they feel the stress in their bones the next day,” Grumman says.

What is the risk of developing myocarditis when tired?

Grauman warns against starting too fast: “What a collapse, then what we want to avoid, is for the pericardium to become inflamed.” So myocarditis, which is feared by many, is also called myocarditis.

“What is collapse, then what we want to avoid, is pericarditis.”

It is not easy to recognize this, since there are no clear criteria for myocarditis. The only definitive means of determining myocarditis is the examination of the nuclear circulation of the heart, the so-called magnetic resonance imaging of the heart. However, routine screening for heart damage is not recommended. Your heart should only be checked if you have symptoms such as chest pain, shortness of breath, tachycardia, stumbling, or brief loss of consciousness (fainting).

“Often, changes in the heart can only be detected with the help of an imaging heart scan. Therefore, the specific criteria are important for the diagnosis and treatment of myocarditis. Medical Thomas Voigtländer, CEO of the German Heart Foundation. But you should not let it come to this. limit.

Myocarditis can also occur after mRna vaccination, a recently published study from Scandinavia shows. Young people in particular are at risk. But according to the German Center for Cardiovascular Research, infection is still more dangerous than vaccination: According to this, the risk of contracting myocarditis from Covid-19 is at least four times higher than that of vaccination. This is demonstrated by studies from the USA, Great Britain and Israel.

Generally important: If there is evidence of heart damage or myocarditis, vigorous physical exertion should be avoided for three to six months. Cardiologist Prof. Voigtlander, medical director at the Agplession-Bethanian Hospital in Frankfurt am Main, emphasized in a public statement that “this period of rest is the best way to avoid damage to the heart muscle.”

The Federal Prosecutor’s Office took over the investigation into the planned kidnapping of Federal Health Minister Karl Lauterbach (SPD). The investigation body in Karlsruhe announced, on Tuesday, that with regard to the arrest of four suspects, there were sufficient indications that they founded a terrorist organization or were active as members of such an organization. In addition to kidnapping Lauterbach, the suspects were also said to have planned attacksBut before carrying out the works the group was arrested.

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