Doctors are struggling with how to help patients who develop heart conditions after COVID-19.
Firefighter and paramedic Mike Camilleri once had no trouble hauling heavy gear up ladders. Now battling long COVID, he gingerly steps onto a treadmill to learn how his heart handles a simple walk.
"We are seeing effects on the heart and the vascular system that really outnumber, unfortunately, effects on other organ systems," said Dr. Susan Cheng, a cardiologist at Cedars-Sinai Medical Center in Los Angeles. Patient Mike Camilleri works with physical therapist Beth Hughes in St. Louis, Mo., on March 1, 2023. Somehow, a mild case of COVID-19 set off a chain reaction that eventually left Camilleri with dangerous blood pressure spikes, a heartbeat that raced with slight exertion, and episodes of intense chest pain.Heart disease has long been the top killer in the nation and the world. But in the U.S., heart-related death rates had fallen to record lows in 2019, just before the pandemic struck.
"These are individuals who wouldn't necessarily come to their doctor and say, 'I have long COVID,'" she said.In St. Louis, Camilleri first developed shortness of breath and later a string of heart-related and other symptoms after a late 2020 bout of COVID-19. He tried different treatments from multiple doctors to no avail, until winding up at Washington University's long COVID clinic.There, he saw Dr.
Back in the gym, Hughes, a physical therapist who works with long COVID patients, came up with a careful rehab plan after the treadmill test exposed erratic jumps in Camilleri's heart rate.
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