The Hidden Victims of the COVID-19 Pandemic

El-Saiedi, Sonia A.; Haeffele, Christiane; Hanna, Baher

doi:10.1016/j.jaccas.2020.05.081

Cited by 6 publications

(7 citation statements)

References 8 publications

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“…Thereafter, we analysed the impact of the COVID-19 outbreak on cardiac cath laboratory activity. Consistently with other reports, the majority of institutions stated a change in the cath laboratory usual workflow plan and accessibility 5,7 . Most of the centres had to cease at least temporarily cath laboratory practice, and the overall reduction in the number of procedures ranged between 50 and 75%.…”

Section: Discussionsupporting

confidence: 82%

Impact of hard lockdown on interventional cardiology procedures in congenital heart disease: a survey on behalf of the Italian Society of Congenital Heart Disease

Castaldi

Sirico

Meliota

et al. 2021

Journal of Cardiovascular Medicine

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The Coronavirus disease 2019 (COVID-19) pandemic has thoroughly and deeply affected the provision of healthcare services worldwide. In order to limit the in-hospital infections and to redistribute the healthcare professionals, cardiac percutaneous intervention in Pediatric and Adult Congenital Heart Disease (ACHD) patients were limited to urgent or emergency ones. The aim of this article is to describe the impact of the COVID-19 pandemic on Pediatric and ACHD cath laboratory activity during the so-called ‘hard lockdown’ in Italy. Eleven out of 12 Italian institutions with a dedicated Invasive Cardiology Unit in Congenital Heart Disease actively participated in the survey. The interventional cardiology activity was reduced by more than 50% in 6 out of 11 centers. Adolescent and ACHD patients suffered the highest rate of reduction. There was an evident discrepancy in the management of the hard lockdown, irrespective of the number of COVID-19 positive cases registered, with a higher reduction in Southern Italy compared with the most affected regions (Lombardy, Piedmont, Veneto and Emilia Romagna). Although the pandemic was brilliantly addressed in most cases, we recognize the necessity for planning new, and hopefully homogeneous, strategies in order to be prepared for an upcoming new outbreak.

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Section: Discussionsupporting

confidence: 82%

Impact of hard lockdown on interventional cardiology procedures in congenital heart disease: a survey on behalf of the Italian Society of Congenital Heart Disease

Castaldi

Sirico

Meliota

et al. 2021

Journal of Cardiovascular Medicine

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“…Additionally, the Critical care of the neonates diagnosed with CHD was directed to emergency services to maintain isolation and/or negative-pressure rooms vacant for COVID-19 patients. 27 A study that included 220 parents of CHD patients and children diagnosed with CHD showed that both were worried due to the lack of pediatric information and guidance, and were disappointed with the adult information available. 28 Also, the physical activity of CHD children was reduced compared to 2019 and the era before the COVID-19 pandemic and if this persists, it will affect their health.…”

Section: Impact Of Covid-19 On Chd Patientsmentioning

confidence: 99%

Effect of COVID-19 on congenital heart disease children: a literature review

Ali

Alkhuzaie

Alhashim

et al. 2021

Int J Community Med Public Health

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Congenital heart diseases are the most common birth defects and have variable levels of severity. Some studies showed that CHD increases the odds of COVID-19 realted complications; however, others suggested that there is no such a correlation. Due to the aforementioned lack of evidence, we aim in this review to provide a comprehensive overview of the impact of COVID-19 infection on CHD patients. For that, an extensive literature search of Medline, Cochrane, and EMBASE databases was performed using the medical subject headings or a combination of all possible related terms. Patients diagnosed with both CHD and COVID-19 infection has reported that CHD patients, especially those with a genetic syndrome, are at high risk to develop moderate to severe symptoms. Moreover, CHD surgeries were postponed or even canceled, with a decline in overall admission days, due to hospital protocol or pateints’ decisions. Also, the findings suggested that congenital heart surgeries can be safely done during the pandemic when there is case volume limitation, with the safety precautions are followed by both surgical staff and patients. In conclusion, the scarce evidence along with the variety in CHD types and their different clinical presentations; makes it hard to predict the outcomes and to manage CHD-COVID-19 co-morbid children. More studies are needed to guide management plans in this particular context.

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“…Coronavirus disease 2019 (COVID-19) poses clinical and social challenges for managing children with underlying conditions including congenital heart disease (CHD). Preventive measures in the wake of infection have resulted in a reported decrease in ED visits by up to 50% in some institutes [ 1 ]. Many CHD correction surgeries have been delayed during the beginning of the pandemic as medical personnel were still in the midst of exploring the virus [ 1 - 2 ].…”

Section: Introductionmentioning

confidence: 99%

“…Preventive measures in the wake of infection have resulted in a reported decrease in ED visits by up to 50% in some institutes [ 1 ]. Many CHD correction surgeries have been delayed during the beginning of the pandemic as medical personnel were still in the midst of exploring the virus [ 1 - 2 ]. Regardless, healthcare workers are in need to reach this group of individuals in order to make sure follow up is properly done [ 1 ].…”

Section: Introductionmentioning

confidence: 99%

“…Many CHD correction surgeries have been delayed during the beginning of the pandemic as medical personnel were still in the midst of exploring the virus [ 1 - 2 ]. Regardless, healthcare workers are in need to reach this group of individuals in order to make sure follow up is properly done [ 1 ]. Total anomalous pulmonary venous return (TAPVR) is characterized by having all four pulmonary veins drain into the systemic venous circulation [ 2 ].…”

Section: Introductionmentioning

confidence: 99%

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COVID-19 in a Three-Year-Old Girl With Total Anomalous Pulmonary Venous Return: A Case Report

Alfareh¹,

Zafar²

2020

Cureus

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Total anomalous pulmonary venous return (TAPVR) is a rare congenital heart disease (CHD) with an incidence of less than 1%. It is known that coronavirus disease 2019 (COVID-19) has a worse prognosis in those with underlying disorders. Children with congenital heart defects can contract COVID-19 irrespective of their surgical correction status. We report a case of a three-year-old girl with unoperated TAPVR, who presented with respiratory distress, lethargy, and reduced feeding. Reverse transcription polymerase chain reaction (RT-PCR) of nasopharyngeal aspirate came back positive for severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2). There was no growth of any other viral or bacterial pathogens. Throughout her admission, she had an overall mild course of the disease and did not need mechanical ventilation. Oxygen was given via nasal cannula to maintain SpO 2 in the target range. Chest X-ray (CXR) showed bilateral patchy consolidation while a chest CT with contrast showed significant venous congestion. Her length of hospital stay was 25 days. Infection with SARS-CoV-2 did not cause a critical disease and was not different clinically to any other bacterial or viral infection. The potential risk of further cardiac deterioration in COVID-19 in any CHD should be handled with caution as these children can decompensate rapidly.

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The Hidden Victims of the COVID-19 Pandemic

Cited by 6 publications

References 8 publications

Impact of hard lockdown on interventional cardiology procedures in congenital heart disease: a survey on behalf of the Italian Society of Congenital Heart Disease

Impact of hard lockdown on interventional cardiology procedures in congenital heart disease: a survey on behalf of the Italian Society of Congenital Heart Disease

Effect of COVID-19 on congenital heart disease children: a literature review

COVID-19 in a Three-Year-Old Girl With Total Anomalous Pulmonary Venous Return: A Case Report

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