As global numbers of COVID-19 grow, chronic neurological symptoms, including those of autonomic dysfunction, are being reported with increasing frequency. Mounting evidence suggests that many patients experience chronic and sometimes debilitating symptoms long after their acute infectious period, leading to the new diagnostic category of post-acute COVID syndrome. Many symptoms of post-acute COVID syndrome appear autonomic in nature, suggesting that autonomic impairment may play a central role in the underlying pathophysiology. In this review, we discuss the autonomic symptoms and manifestations of post-acute COVID syndrome, potential mechanisms involved, and future directions for a better understanding of this novel condition.

随着全球 COVID-19 数量的增加，慢性神经系统症状，包括自主神经功能障碍的症状，越来越频繁地被报告。越来越多的证据表明，许多患者在急性感染期后很长一段时间内都会出现慢性、有时甚至是衰弱的症状，这导致了新冠急性后综合征的新诊断类别。急性新冠肺炎后综合征的许多症状本质上表现为自主神经，这表明自主神经损伤可能在潜在的病理生理学中发挥着核心作用。在这篇综述中，我们讨论了急性新冠肺炎后综合征的自主神经症状和表现、涉及的潜在机制以及更好地了解这种新病症的未来方向。