Whenever Cate O맥스카지노�Shea Rivera feels a cold coming on, she typically goes for a run.The activity, she says, seems to clear the sickness from her system.맥스카지노�I맥스카지노�ll come back, I맥스카지노�ll take a nice warm shower, and I맥스카지노�ll be breathing through my nose better,맥스카지노� says the 43-year-old Chicago resident. But this April, when O맥스카지노�Shea Rivera developed a cough and shortly after tested positive for COVID-19, exercise, it seemed, had the opposite effect. As O맥스카지노�Shea Rivera quarantined in her bedroom and adjoining backyard for three weeks, she was determined to work out for 30 minutes a day 맥스카지노� even if it meant walking laps to and from the closet, or strolling circles in the yard. Yet the 12-time marathoner soon found that just five minutes of easy walking 맥스카지노�kicked my ass,맥스카지노� leaving her breathless and exhausted. Afterward, she맥스카지노�d use an inhaler, crawl back into bed, and 맥스카지노�just lay there for hours.맥스카지노�By week two, O맥스카지노�Shea Rivera started feeling better, but just 10 to 15 minutes of walking or light movement continued to have the same effect: worsening symptoms, coughing, dizziness, and physical exhaustion.O맥스카지노�Shea Rivera knew she needed to rest, but also felt like if she kept moving, she맥스카지노�d get stronger faster. Her internal medicine physician, however, told her to not to push it.맥스카지노�This isn맥스카지노�t a cold or the flu,맥스카지노� O맥스카지노�Shea Rivera recalls her doctor saying. As it turns out, O맥스카지노�Shea Rivera맥스카지노�s physician was right to urge caution. According to new evidence, exercise can indeed make COVID-19 worse. For runners like O맥스카지노�Shea Rivera and other active people who generally turn to physical activity to boost circulation and feel better faster when they맥스카지노�re a little under the weather, this is new and urgent news, says Jordan Metzl, M.D., a sports medicine physician at Hospital for Special Surgery or (HSS) in New York City.맥스카지노�This goes against my personal exercise philosophy that burpees cure pretty much everything and the advice I have given for 20 years that it맥스카지노�s okay to exercise through minor sickness symptoms,맥스카지노� Dr. Metzl says. 맥스카지노�COVID-19 plays by different rules when it comes to sports and exercise.맥스카지노�Here맥스카지노�s what you need to know. Be vigilant about listening to your body right now.Exercise is still very important for your health. Not only does moderate, regular activity keep your immune system strong, but it also helps prevent the underlying conditions that might increase your risk of more severe coronavirus complications such as obesity, high blood pressure, and diabetes.Specifically, research finds that regular exercise may reduce the risk of acute respiratory distress syndrome (ARDS), a potentially deadly complication that affects between 3 and 17% of people who come down with COVID-19. So definitely keep moving, but pay attention to how you feel. As athletes, we all have a lot of experience with tuning into the cues our bodies send to us. Don맥스카지노�t just blow off persistent fatigue as a bad day.Related video: Ways to keep your muscles strong outside of the gym맥스카지노�You need to be a very good body listener right now,맥스카지노� Dr. Metzl says.Be especially mindful of unusual symptoms, adds Sunal Makadia, M.D., LifeBridge Health Director of Sports Cardiology in Baltimore.맥스카지노�Check in with your doctor if you have shortness of breath, chest pain, heart palpitations like a fluttering or rapid heartbeat, lightheadedness, leg swelling, muscle pains, and/or unexplainable fatigue,맥스카지노� Dr. Makadia says. 맥스카지노�Even if you find yourself suddenly unable to keep up with your usual exercise partners, that맥스카지노�s a red flag to stop and get tested.맥스카지노�You also want to check your heart rate monitor, if you use one, Dr. Makadia adds. 맥스카지노�If you맥스카지노�re hitting your peak heart rate unusually early in your or having a hard time bringing your heart rate down, that맥스카지노�s a sign you should check in with your doctor.맥스카지노� Even mild cases of COVID-19 can hurt your heart.Being healthy, fit, and strong may help you avoid some of the more severe symptoms of COVID-19 like ARDS, but it doesn맥스카지노�t make you immune from some of the more insidious effects of the disease. And even if you only come down with a mild to moderate case, you are still at risk for myocarditis, inflammation of the middle layer of the heart wall, which can weaken the heart and lead to heart failure, abnormal heartbeat, or even sudden death.This can happen even if you have no symptoms at all. In a recent study published in JAMA Cardiology, German researchers performed cardiac MRI testing on 100 adults who had recovered from COVID-19.About half of them had mild to moderate symptoms and 18% never had any symptoms. Though the testing was performed two to three months after their diagnosis and none of them had experienced heart symptoms related to the new coronavirus, 78 of them had structural changes to their hearts, and 60 had myocarditis.Ironically, athletes might be at particular risk for this complication because intense activity during active infection맥스카지노�even if you맥스카지노�re showing no symptoms맥스카지노�may cause the virus to replicate at a faster rate, Dr. Makadia says.맥스카지노�During training, you increase your cardiac output. If you맥스카지노�re infected, this could in theory increase the viral replication in the heart muscle. If that happens the higher viral load may increase your risk of cardiac harm in the form of myocarditis, arrhythmias, and heart failure,맥스카지노� he says.It맥스카지노�s important to stop exercising immediately at the first sign of potential cardiac symptoms and get checked out by your doctor, advises Dr. Makadia.Dr. Metzl agrees. 맥스카지노�We had a dedicated athlete and CrossFit enthusiast in her early 30s come down with COVID-19 when the pandemic struck New York. She had lingering fatigue and sluggishness and thought she would go out for a run to feel better. She died of a heart attack. She was young and healthy and had no pre-existing cardiac history. It맥스카지노�s very important to be conservative with COVID-19,맥스카지노� he says.Related video: COVID-19 is causing blood clots and strokes in some patientsBlood clots are a riskAn equally scary COVID-19-related cardiovascular concern is blood clotting like deep vein thrombosis (DVT)맥스카지노�something active people may also be more likely to develop in part because of our low resting heart rates, which can cause blood to pool in our calves if we sit for prolonged periods of time, like a long car ride. Dehydration and injuries also raise the risk.맥스카지노�We know that very intense exercise increases inflammation and affects clotting even if you don맥스카지노�t have other risk factors, which may be why some people who travel to marathons and other races and sit in cars for several hours afterward have a higher rate of blood clots, Dr. Makadia says.COVID-19 also causes an increase in clotting and inflammation, he says.맥스카지노�The athletic population should be concerned about clotting as it relates to COVID. Hydration is key, as is early testing if you have COVID-19 symptoms, so that doctors can monitor clotting proteins in the blood.맥스카지노�Though you want to take it easy and avoid working out if you맥스카지노�re COVID-19 positive, low-intensity activity like easy walking, or at least avoiding prolonged sitting, can provide some protection against DVT.Calf pain, swelling, and/or tenderness are red flags to get checked. 맥스카지노�Again, you need to pay attention to anything unusual,맥스카지노� Dr. Metzl says. 맥스카지노�I cared for a cyclist who developed blood clots in both of her legs because of COVID-19 and nearly had to have one of her legs amputated. Now is the time to be extra careful and not blow off symptoms.맥스카지노�Stop exercising completely for at least two weeks.If you맥스카지노�ve been diagnosed with COVID-19, whether or not you have symptoms, you should not exercise for at least two weeks after receiving your positive test, Dr. Makadia says.맥스카지노�If you do have symptoms, you should avoid exercise for two weeks after your symptoms subside.맥스카지노�맥스카지노�The real concern is that people can have a biphasic response,맥스카지노� Dr. Makadia explains. 맥스카지노�You can get symptoms and then after a few days feel that you맥스카지노�ve recovered. But then a lot of people have a resurgence of symptoms, and it맥스카지노�s that second bout that can be really troublesome. That맥스카지노�s when they get significantly worse. We want to avoid that second bout. That맥스카지노�s where that two-week recommendation comes from.맥스카지노�After that two-week period, you may need additional testing as you look to resume your usual activity, Dr. Makadia says. 맥스카지노�Your doctor may want to do follow up tests like blood work to check if your heart has been affected by the virus, as well as other tests like an EKG, an echocardiogram, and possibly a stress test.맥스카지노�Ease back into activity slowly after COVID-19.Nobody wants people to stop exercising for good. Everyone wants people who have had COVID-19 to start exercising again safely. That맥스카지노�s why doctors like Dr. Metzl have started creating guidelines for the medical community to follow as we work our way through the pandemic.맥스카지노�Everyone is unique and this disease affects everyone uniquely and can affect the whole body in many ways, so there is no absolute algorithm for resuming activity as there is for a sprained ankle,맥스카지노� says Dr. Metzl, who authored a recently published review article titled Considerations for Return to Exercise Following Mild-to-Moderate COVID-19 in the Recreational Athlete. 맥스카지노�We just need to help people return to activity in a gradual stepwise manner.맥스카지노�As a general rule, people who have had COVID-19 should be followed closely, especially in the first three to six months as they return to exercise programs, Dr. Metzl and his co-authors conclude in the study. 맥스카지노�This is true for athletes who have had COVID-19 to any degree,맥스카지노� Dr. Metzl writes.If you맥스카지노�ve had a mild case, then Dr. Metzl and his coauthors recommend working with your doctor and following a gradual guided activity modification plan such as the 50/30/20/10 rule developed by the National Strength and Conditioning Association and Collegiate Strength and Conditioning Coaches Association Joint committee.In that plan, the first week back, you resume activity at a level that is reduced by at least 50% of your normal exercise load. For example, if you usually run 6 hours a week, you should adjust to just 3 hours per week, spread out evenly across seven days. The following week, if all is well, you can resume at a level that is 30% lower than your usual weekly total (about 4 hours per week for this example), followed by 20% the next week, and 10% the next week.As always, continue to follow the expert-recommended safety guidelines for activity including running alone, physical distancing and planning routes that are not heavily populated, maintaining light to moderate intensity, regular hand-washing, wearing a face covering when you can맥스카지노�t maintain appropriate distancing (or bringing one with you in case of an emergency). As for O맥스카지노�Shea Rivera, she맥스카지노�s regained some of the strength she lost in April, but still struggles to run nearly five months after contracting the virus. Instead, she맥스카지노�s been going on 3-mile, fast-paced walks, and even those leave her exhausted. Her mindset, for now, is to 맥스카지노�keep plugging along맥스카지노� but also listen to her body. 맥스카지노�I just had to accept the fact that I맥스카지노�m not a runner right now,맥스카지노� she says. 맥스카지노�I맥스카지노�m just sort of taking a sabbatical. I will get back out there hopefully next year.맥스카지노�