Long-term complications of COVID-19
- PMID: 34817268
- PMCID: PMC8721906
- DOI: 10.1152/ajpcell.00375.2021
Long-term complications of COVID-19
Abstract
SARS-CoV-2 has rapidly spread across the globe and infected hundreds of millions of people worldwide. As our experience with this virus continues to grow, our understanding of both short-term and long-term complications of infection with SARS-CoV-2 continues to grow as well. Just as there is heterogeneity in the acute infectious phase, there is heterogeneity in the long-term complications seen following COVID-19 illness. The purpose of this review article is to present the current literature with regards to the epidemiology, pathophysiology, and proposed management algorithms for the various long-term sequelae that have been observed in each organ system following infection with SARS-CoV-2. We will also consider future directions, with regards to newer variants of the virus and their potential impact on the long-term complications observed.
Keywords: COVID-19; SARS-CoV-2; long COVID-19; post-COVID-19; sequelae.
Conflict of interest statement
No conflicts of interest, financial or otherwise, are declared by the authors.
Figures
Similar articles
-
Research progress of post-acute sequelae after SARS-CoV-2 infection.Cell Death Dis. 2024 Apr 11;15(4):257. doi: 10.1038/s41419-024-06642-5. Cell Death Dis. 2024. PMID: 38605011 Free PMC article. Review.
-
A longitudinal SARS-CoV-2 biorepository for COVID-19 survivors with and without post-acute sequelae.BMC Infect Dis. 2021 Jul 13;21(1):677. doi: 10.1186/s12879-021-06359-2. BMC Infect Dis. 2021. PMID: 34256735 Free PMC article.
-
The Involvement and Manifestations of SARS-CoV-2 Virus in Cardiovascular Pathology.Medicina (Kaunas). 2025 Apr 22;61(5):773. doi: 10.3390/medicina61050773. Medicina (Kaunas). 2025. PMID: 40428732 Free PMC article. Review.
-
An Insight Into Pathophysiology, Epidemiology, and Management of Cardiovascular Complications of SARS-CoV-2 Infection, Post-acute COVID Syndrome, and COVID Vaccine.Crit Pathw Cardiol. 2022 Sep 1;21(3):123-129. doi: 10.1097/HPC.0000000000000290. Epub 2022 Apr 28. Crit Pathw Cardiol. 2022. PMID: 35994720 Review.
-
Inflammation, immunity, and antigen persistence in post-acute sequelae of SARS-CoV-2 infectionImmunity and inflammaion in post-acute sequelae of SARS-CoV-2 infection.Curr Opin Immunol. 2022 Aug;77:102228. doi: 10.1016/j.coi.2022.102228. Epub 2022 May 24. Curr Opin Immunol. 2022. PMID: 35724449 Free PMC article. Review.
Cited by
-
[Evidence map on post-acute COVID-19 sequelae and rehabilitation: Update as of July 2022Mapa de evidencia sobre las secuelas y la rehabilitación tras la COVID-19 aguda: versión actualizada en julio del 2022].Rev Panam Salud Publica. 2023 Feb 10;47:e30. doi: 10.26633/RPSP.2023.30. eCollection 2023. Rev Panam Salud Publica. 2023. PMID: 36788961 Free PMC article. Review. Portuguese.
-
Acceptability and Feasibility of Saliva-delivered PCR Coronavirus 2019 Tests for Young Children.Pediatrics. 2023 Jul 1;152(Suppl 1):e2022060352D. doi: 10.1542/peds.2022-060352D. Pediatrics. 2023. PMID: 37394507 Free PMC article.
-
A Systematic Review and Meta-Analysis Comparing the Diagnostic Accuracy Tests of COVID-19.Diagnostics (Basel). 2023 Apr 26;13(9):1549. doi: 10.3390/diagnostics13091549. Diagnostics (Basel). 2023. PMID: 37174941 Free PMC article. Review.
-
Post-COVID-Syndrome Patients Might Overestimate Own Cognitive Impairment.Eur J Neurol. 2025 May;32(5):e70195. doi: 10.1111/ene.70195. Eur J Neurol. 2025. PMID: 40371967 Free PMC article.
-
Long COVID at 3 and 6 months after covid-19 infection in Thailand.Sci Rep. 2024 Oct 8;14(1):23441. doi: 10.1038/s41598-024-75233-3. Sci Rep. 2024. PMID: 39379681 Free PMC article.
References
-
- Planas D, Veyer D, Baidaliuk A, Staropoli I, Guivel-Benhassine F, Rajah MM, Planchais C, Porrot F, Robillard N, Puech J, Prot M, Gallais F, Gantner P, Velay A, Le Guen J, Kassis-Chikhani N, Edriss D, Belec L, Seve A, Courtellemont L, Péré H, Hocqueloux L, Fafi-Kremer S, Prazuck T, Mouquet H, Bruel T, Simon-Lorière E, Rey FA, Schwartz O. Reduced sensitivity of SARS-CoV-2 variant delta to antibody neutralization. Nature 596: 276–280, 2021. doi:10.1038/s41586-021-03777-9. - DOI - PubMed
-
- Centers for Disease Control and Prevention. COVID-19 Weekly Cases and Deaths per 100,000 Population by Age, Race/Ethnicity, and Sex. 2021. https://www.cdc.gov/nchs/nvss/vsrr/covid_weekly/index.htm.
-
- Nalbandian A, Sehgal K, Gupta A, Madhavan MV, McGroder C, Stevens JS, Cook JR, Nordvig AS, Shalev D, Sehrawat TS, Ahluwalia N, Bikdeli B, Dietz D, Der-Nigoghossian C, Liyanage-Don N, Rosner GF, Bernstein EJ, Mohan S, Beckley AA, Seres DS, Choueiri TK, Uriel N, Ausiello JC, Accili D, Freedberg DE, Baldwin M, Schwartz A, Brodie D, Garcia CK, Elkind MSV, Connors JM, Bilezikian JP, Landry DW, Wan EY. Post-acute COVID-19 syndrome. Nat Med 27: 601–615, 2021. doi:10.1038/s41591-021-01283-z. - DOI - PMC - PubMed
Publication types
MeSH terms
Grants and funding
LinkOut - more resources
Full Text Sources
Medical
Research Materials
Miscellaneous