Adult congenital heart disease and the COVID-19 pandemic

Heart
Robert M RadkeGerhard-Paul Diller

Abstract

Adults with congenital heart disease (ACHD) may be at high risk in the case of COVID-19. Due to the heterogeneity of ACHD and secondary complications, risk profiles are, however, not uniform. This document aims to give an overview of relevant data and outline our pragmatic approach to disease prevention and management. Based on anatomy and additional physiological factors including symptoms, exercise capacity, heart failure, pulmonary hypertension and cyanosis, we propose a pragmatic approach to categorising patients into low-risk, intermediate-risk and high-risk groups. We regard especially patients with complex cyanotic conditions, those with palliated univentricular hearts, heart failure, severe valvular disease or pulmonary hypertension as high-risk patients. To avoid infection, we recommend self-isolation and exemption from work for these cohorts. Infected ACHD patients with low or moderate risk and without signs of deterioration may be remotely followed and cared for at home while in self isolation. High-risk patients or those with signs of respiratory or cardiovascular impairment require admission ideally at a tertiary ACHD centre. Especially patients with complex, cyanotic disease, heart failure and arrhythmias require ...Continue Reading

References

Oct 11, 2007·Chest·Antoine Vieillard-BaronFrançois Jardin
Aug 31, 2010·European Heart Journal·Helmut BaumgartnerUNKNOWN ESC Committee for Practice Guidelines (CPG)
Nov 21, 2013·Virulence·Diana F Florescu, Andre C Kalil
Feb 23, 2017·European Respiratory Review : an Official Journal of the European Respiratory Society·Kelley L Colvin, Michael E Yeager
Feb 25, 2017·Thorax·Laura C Price, S John Wort
Mar 18, 2017·Current Opinion in Anaesthesiology·Torsten Baehner, Richard K Ellerkmann
May 16, 2017·Scandinavian Cardiovascular Journal : SCJ·Johan HeibergVibeke E Hjortdal
Jan 25, 2018·The New England Journal of Medicine·Jeffrey C KwongJonathan B Gubbay
Mar 27, 2018·Europace : European Pacing, Arrhythmias, and Cardiac Electrophysiology : Journal of the Working Groups on Cardiac Pacing, Arrhythmias, and Cardiac Cellular Electrophysiology of the European Society of Cardiology·Antonio Hernández-MadridUNKNOWN ESC Scientific Document Group
Dec 14, 2018·The European Respiratory Journal·Marius M HoeperWalter Klepetko
May 31, 2019·Lung·Sameep SehgalUNKNOWN STep-count using an Accelerometer for Monitoring PAH—STAMP Study group
Dec 10, 2019·The Canadian Journal of Cardiology·Marie-A ChaixErwin N Oechslin
Feb 8, 2020·JAMA : the Journal of the American Medical Association·Dawei WangZhiyong Peng
Feb 23, 2020·The Lancet Infectious Diseases·Ensheng DongLauren Gardner
Feb 29, 2020·JAMA : the Journal of the American Medical Association·Carlos Del Rio, Preeti N Malani
Mar 4, 2020·JAMA : the Journal of the American Medical Association·Barnaby Edward YoungUNKNOWN Singapore 2019 Novel Coronavirus Outbreak Research Team
Mar 27, 2020·Circulation·Orly VardenyScott D Solomon
Apr 1, 2020·European Heart Journal·Gian Battista DanziElisa Gherbesi
Apr 4, 2020·Circulation·Justin A FriedGabriel Sayer
Apr 4, 2020·Heart Rhythm : the Official Journal of the Heart Rhythm Society·Cheng-I WuArthur A M Wilde
Apr 7, 2020·International Journal of Cardiology·Weiyi Tan, Jamil Aboulhosn
Apr 9, 2020·JAMA Otolaryngology-- Head & Neck Surgery·Michael EliezerCorinne Eloit
Apr 10, 2020·The Lancet. Respiratory Medicine·Jason PhuaUNKNOWN Asian Critical Care Clinical Trials Group
Apr 18, 2020·Journal of Thrombosis and Haemostasis : JTH·Marco RanucciLorenzo Menicanti
May 5, 2020·The Journal of Heart and Lung Transplantation : the Official Publication of the International Society for Heart Transplantation·Hasan K Siddiqi, Mandeep R Mehra
May 15, 2020·HeartRhythm Case Reports·Abhimanyu Beri, Kamal Kotak
Jul 14, 2020·JACC. Cardiovascular Imaging·Yuman LiMingxing Xie

❮ Previous
Next ❯

Citations

Jul 29, 2020·Heart·Catherine M Otto
Nov 12, 2020·Cardiology in the Young·Ana Alina HaiducRam Dhannapuneni
Dec 15, 2020·Cardiology in the Young·Aoife ClearyJohn M Simpson
Dec 18, 2020·Journal of Cardiac Surgery·Michael OgunjimiAmer Harky
Mar 24, 2021·Indian Journal of Pediatrics·Sakshi SachdevaShyam S Kothari
Jun 1, 2021·Frontiers in Cardiovascular Medicine·Somasundaram RaghavanVijayalakshmi Shankar
Apr 22, 2021·Journal of Cardiovascular Medicine·Maria GrandinettiMassimo Massetti
Oct 29, 2021·Cardiology in the Young·Shreedhar S JoshiVijay S Richard

❮ Previous
Next ❯

Methods Mentioned

BETA
X-ray
PCR

Related Concepts

Related Feeds

Atrial Fibrillation

Atrial fibrillation is a common arrhythmia that is associated with substantial morbidity and mortality, particularly due to stroke and thromboembolism. Here is the latest research.

Arrhythmia

Arrhythmias are abnormalities in heart rhythms, which can be either too fast or too slow. They can result from abnormalities of the initiation of an impulse or impulse conduction or a combination of both. Here is the latest research on arrhythmias.

Cardiomyopathy

Cardiomyopathy is a disease of the heart muscle, that can lead to muscular or electrical dysfunction of the heart. It is often an irreversible disease that is associated with a poor prognosis. There are different causes and classifications of cardiomyopathies. Here are the latest discoveries pertaining to this disease.