201 symptomatic individuals a median 140 days after initial COVID-19 symptoms and low risk in terms of age (mean 44yrs), risk factors, underlying conditions and hospitalisation (18%).
Ongoing cardiorespiratory (92%) and gastrointestinal (73%) symptoms were common, and 42% of individuals had ten or more symptoms.
Whole body quantitative MRI showed mild single organ impairment in 66% and multiorgan impairment in 25%. No severe impairment. 11% myocarditic changes.
There are implications not only for burden of long COVID but also public health approaches which have assumed low risk in young people with no comorbidities.
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