By rray, 3 June, 2024 Goal is to optimize function and QOL 2 Use shared decision making to agree on support and rehab needed 3
By rray, 3 June, 2024 Advise pts that post COVID conditions are not yet well understood and assure them support will continue to be provided as new information emerges 2
By rray, 3 June, 2024 Do not dismiss sx not explained by or out of proportion to objective findings These are common even if etiology duration not fully understood 2
By rray, 3 June, 2024 Evaluate the overall trajectory of sx which often fluctuate and recur Support levels may change over time 3
By rray, 3 June, 2024 Evaluate the impact of sx on QOL even if individual sx alone may not warrant referral 3
By rray, 3 June, 2024 Myocarditis defined by a cardiac sx e g CP dyspnea palpitations syncope b elevated cTn and c abnl ECG echo CMR and or bx findings or postmortem eval 1
By rray, 3 June, 2024 Noncardiac pain sx relief 1 If ischemia ruled out and pain is pleuritic or underlying inflammation present e g costochondritis Consider 1 to 2 wk NSAID trial w low dose colchicine added prn If sx worsen w NSAID consider esophagitis esophageal spasm
By rray, 3 June, 2024 Focus on sx mgmt Use a multidisciplinary approach to guide rehab physical psychological and psychiatric Ensure sx that could affect safe participation in rehab have been investigated first 3