skip to main content

There are now consistent reports of highly active individuals demonstrating residual symptoms many weeks, or even months, after initial COVID-19 infection. These commonly include extreme fatigue (even after light exercise), breathlessness on returning to sport, and tachycardia (racing heart rate) with low levels of activity. In addition to the effects on the heart and lungs, COVID-19 may have pathological consequences on other organ systems that may hinder those wishing to resume competitive sport.


The Institute of Sport, Exercise and Health (ISEH) has been supporting a number of elite athletes as they have returned-to-sport following COVID-19. Accordingly, we have developed a long-COVID syndrome pathway specifically dedicated to individuals who have had COVID-19 infection but are now struggling to physically get back to levels of fitness pre-infection.

Led by our expert sports respiratory physician, Professor James Hull and clinical specialist physiotherapist, Julie Moore the ISEH has access to a broad range of specialist investigations that are selected based upon the individuals presenting symptoms. 

Investigations may include:

  • History and physical examination: training volume, physiology/performance testing review
  • Cardiac: 12-lead electrocardiogram (ECG), echocardiogram (ECHO), late-gadolinium enhancement cardiac magnetic resonance (CMR) and cardiopulmonary exercise test (CPET)
  • Respiratory: spirometry, pulmonary function test (PFT) including gas transfer
  • Biochemistry: autoantibody, hormone profile, plus others as required following detailed history & physical examination

For further details, please contact:

Tel: +44 (0)20 3447 2800


Watch the Long-COVID Syndrome Pathway video

Read the editorial in the British Journal of Sports Medicine by Prof. James Hull: Persistent symptoms in athletes following COVID-19: time to take a breath in the search for answers?