Covid-19 is, in the end, an endothelial disease

[@swalexander6218]

A dexamethasone test, which measures cortisol and ACTH levels. I have been advocating for cortisol and ACTH testing since 2021. Gradually, some doctors are beginning to understand its importance. However, the ACTH test is rare in Germany, as most endocrinologists have lost patience with insurance companies, meaning it often requires out-of-pocket payment or drive many KM.

[@radar5464]

Are you relating this to his statement about too much activation of the Sympathetic nervous system?

[@swalexander6218]

@@radar5464The link between excessive activation of the sympathetic nervous system and the dexamethasone suppression test (DST), which measures cortisol and ACTH (adrenocorticotropic hormone) levels, centers on the body's stress response and its impact on the hypothalamic-pituitary-adrenal (HPA) axis. Overactivation of the sympathetic nervous system can disrupt the HPA axis, impairing its ability to regulate cortisol production-an issue that the dexamethasone suppression test can help identify.

[@ChrisKadaver]

And in long covid with all the endothelial dysfunction? How to treat it? I have palpitations, either high hart rate or super hard heartbeats that I feel throughout the body. I got sick in april and all these symptoms are still present. I have ortostatic hyptertension isolated to diastolic blood pressure. It can go up as high as 135 in diastolic pressure just by walking up the stairs or if I just get a little stressed by something. Also I have severe erectile dysfunction and I'm "only" 37. I don't want to live like this and I havent yet got any treatment. Since I never tested positive with covid19 when I got sick in april I feels my doctor doesn't believe me. I'm certain it was covid because I eventyally lost the ability to smell and when the smell came back, everything smelled like garbage for a about a month or two. Also I got a caugh. I believe I took the covid test to early. When I took it I just had been in contact with people who had it, and took a test before my symptoms really had started. And later I never got a test so... I got betablockers but when I took them I got some severe symptoms that reminded of cauda equina syndrome and ended up at the emregency room. I lost the sensation of my inner thies and lost control of sfinkter while I had a really bad pain in the lower back. But the MRI never revield anything so... I don't know why I reacted like that on the betablockers. Metoprolol was it I think.

[@InsideCardiology]

Dear colleague, very good question, yes there are initial studies suggesting that. Wait for the next InsideCardiology on Long Covid at the end of the month. Best

[@ThànhTrần-333]

What is the possible therapy please?

[@carmella88]

How are u now ?? Im having the heart palpitations too

[@brycer985]

Are we speaking of people with palpitations during post vaccination? I am being skeptical as i was a front line worker in senior care. Jabbed myself with not too nice side effects.

[@ChrisKadaver]

@@carmella88 Hi! I have now for three months avoided histamines in my diet. So more or less only eating chicken with either rice or potatoes and my severe palpitations are now gone. I figured I always got severe palpitatipns after dinner since 2 years back. So I guess I for some reason no longer can tolerate histamines in foods at all. I haven't been evaluated for MCAS or similar but I will ask my GP to do so, if possible.

[@dhirajsharma4898]

Prof Luscher, Thanks for explaining the very complex endothelial damage in simple way..

[@babynaysc]

Ok, but what is the treatment, how long does it take for it to take effect? I've seen on the internet about the use of Bromelain, Curcumin, NAC, Quercetin to help reduce inflammation in the body from endotheliitis

[@ghassenbohli4056]

Vessel due f , one to 2 months

[@allovertheplaceproductions5835]

i have been experiencing inflammatory issues and symptoms such as lesions in the mouth and skin rashes i have had my foot sometimes both feet swell to the size of a balloon . tbe rash on my thumb and elbow are pussy and they have lasted over two weeks now and my wisdom toooth extraction area from five years plus ago is crazy soar abs inflamed and is very painful to the touch i wonder to have cavities . i have been cut off by disabilty benifits and i have no way now tti get medication or see a doctor

[@allovertheplaceproductions5835]

i wonder what if any connections to some symptoms may be in syphsllus and carona … i also wonder about women that have had or do have endometriosis . i also wonder if there is a longer standing symptomatic of skin abs mouth over long period of time in people that haven’t been tested or don’t have the cough .

[@allovertheplaceproductions5835]

i had endometriosis …

[@SuperSoliton]

Thank you sir for the knowledge.

[@SteppesoftheLevant]

Great video