Long COVID & Post-Viral Syndromes ECHO: Dysautonomia: Back Seat Drivers

November 2, 2023
Long COVID & Post-Viral Syndromes ECHO
Dissecting the Multisystem Madness: A roadmap for diverse Long COVID & ME/CFS Management
Bateman Horne Center and the University of Utah Health ECHO teams join forces once again to provide a case-based learning series illuminating strategies for assessment and management of Long COVID (PASC), ME/CFS, and related comorbid conditions.
Patient cases are shared in this session for educational purposes. In some cases, the information does not relate to an individual, and instead represents a compilation of disease presentation. In cases involving individual patient information, the patients have authorized the discussion of their case in this setting.
Melanie Hoppers, MD, Brayden Yellman, MD, and Jennifer Bell, FNP-C take a look at what may be driving and contributing to worsening dysautonomia.
Case 1: ME/CFS and Post-Exertional Malaise
Take aways: Post-exertional malaise (PEM) may be exacerbating and further driving dysautonomia, sympathetic overdrive and orthostatic intolerance making interventions less responsive until the patient is out of PEM. Support and recognize PEM. Teach preventative and preemptive measures to avoid the push-crash cycle.
Case 2: Mast Cell Activation Syndrome (MCAS)
Take aways: Some MCAS and dysautonomia symptoms overlap making it challenging to distinguish them from one another. However, if the patient is not making improvements with treatment interventions, consider how MCAS could be playing a role. Screen for MCAS initially and frequently.
Case 3: Neuroanatomical Underpinnings
Sudden and dramatic reductions in functional capacity or lack of response to previously effective pharmacological interventions can have neuroanatomical underpinnings.
Note to community members: We advise viewers to always speak with their medical care team prior to making any adjustments or changes to their current care regimen.
Bateman Horne Center’s involvement in this program is made possible with the additional support of the Open Medicine Foundation.
TIME STAMPS
00:00 Introduction
01:02 Case 1 Mast Cell Activation Syndrome
18:25 Case 2 ME/CFS and PEM
34:40 Case 3 Neuroanatomical Underpinnings
45:05 Question and Answer

[@lee-kazz]

Wonderful info 🎉