Coronavirus disease 2019 in adults with congenital heart disease: a position paper from the ESC working group of adult congenital heart disease, and the International Society for Adult Congenital Heart Disease.

Diller, Gerhard-Paul; Gatzoulis, Michael A; Broberg, Craig S; Aboulhosn, Jamil; Brida, Margarita; Schwerzmann, Markus; Chessa, Massimo; Kovacs, Adrienne H; Roos-Hesselink, Jolien (2021). Coronavirus disease 2019 in adults with congenital heart disease: a position paper from the ESC working group of adult congenital heart disease, and the International Society for Adult Congenital Heart Disease. European heart journal, 42(19), pp. 1858-1865. Oxford University Press 10.1093/eurheartj/ehaa960

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We are witnessing an unparalleled pandemic caused by the novel Severe Acute Respiratory Syndrome Coronavirus 2 (SARS-CoV-2) associated with coronavirus disease 2019 (COVID-19). Current data show that SARS-CoV-2 results in mild flu-like symptoms in the majority of healthy and young patients affected. Nevertheless, the severity of COVID-19 respiratory syndrome and the risk of adverse or catastrophic outcomes are increased in patients with pre-existing cardiovascular disease. Patients with adult congenital heart disease (ACHD)-by definition-have underlying cardiovascular disease. Many patients with ACHD are also afflicted with residual haemodynamic lesions such as valve dysfunction, diminished ventricular function, arrhythmias or cyanosis, have extracardiac comorbidities, and face additional challenges regarding pregnancy. Currently, there are emerging data of the effect of COVID-19 on ACHD patients, but many aspects, especially risk stratification and treatment considerations, remain unclear. In this article, we aim to discuss the broad impact of COVID-19 on ACHD patients, focusing specifically on pathophysiology, risk stratification for work, self-isolation, hospitalization, impact on pregnancy, psychosocial health, and longer-term implications for the provision of ACHD care.

Item Type:

Journal Article (Further Contribution)

Division/Institute:

04 Faculty of Medicine > Department of Cardiovascular Disorders (DHGE) > Clinic of Cardiology

UniBE Contributor:

Schwerzmann, Markus

Subjects:

600 Technology > 610 Medicine & health

ISSN:

1522-9645

Publisher:

Oxford University Press

Language:

English

Submitter:

Markus Schwerzmann

Date Deposited:

10 Feb 2022 08:53

Last Modified:

10 Feb 2022 08:53

Publisher DOI:

10.1093/eurheartj/ehaa960

PubMed ID:

33313664

Uncontrolled Keywords:

Adult congenital heart disease COVID-19 Corona Position paper SARS-CoV-2

BORIS DOI:

10.48350/164742

URI:

https://boris.unibe.ch/id/eprint/164742

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