COVID-19 in congenital heart disease patients: what did we learn?!

AimCOVID-19 pandemic has spread widely at unpreceded pace. Cardiovascular comorbidities are significantly correlated with severe and critical illness. Nevertheless, studies examining the impact of congenital heart disease on COVID-19 severity are scarce and restricted to hospitalized patients. This...

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Main Authors: Rana Zareef, Elio Salameh, Rawan Hammoud, Theresia Tannouri, Fadi Bitar, Mariam Arabi
Format: Article
Language:English
Published: Frontiers Media S.A. 2023-08-01
Series:Frontiers in Cardiovascular Medicine
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fcvm.2023.1235165/full
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author Rana Zareef
Rana Zareef
Elio Salameh
Rawan Hammoud
Theresia Tannouri
Theresia Tannouri
Theresia Tannouri
Fadi Bitar
Fadi Bitar
Fadi Bitar
Mariam Arabi
Mariam Arabi
Mariam Arabi
author_facet Rana Zareef
Rana Zareef
Elio Salameh
Rawan Hammoud
Theresia Tannouri
Theresia Tannouri
Theresia Tannouri
Fadi Bitar
Fadi Bitar
Fadi Bitar
Mariam Arabi
Mariam Arabi
Mariam Arabi
author_sort Rana Zareef
collection DOAJ
description AimCOVID-19 pandemic has spread widely at unpreceded pace. Cardiovascular comorbidities are significantly correlated with severe and critical illness. Nevertheless, studies examining the impact of congenital heart disease on COVID-19 severity are scarce and restricted to hospitalized patients. This study aims to explore the course of COVID-19 illness, severity and complications in patients with concomitant congenital heart disease.MethodologyThis study is a cross sectional survey that includes patients with congenital heart disease who are registered at the Children Heart Center at the American University of Beirut Medical Center. The survey was conducted in the pediatric cardiology outpatient clinics or remotely via phone calls.ResultsA total of 238 patients participated in the study, of which 47.9% had suspected or confirmed diagnosis of SARS-CoV-2 infection. The majority of patients had mild illness. The symptoms ranged between rhinorrhea (15.6%), cough (15.6%), low-grade fever (11.2%), anosmia (2.7%), ageusia (2.5%), headache (9.8%), high-grade fever (8.5%), gastrointestinal symptoms (7.6%), lethargy (6.3%), muscle aches (5.6%), difficulty breathing (5.4%), joint pain (4.7%), and chills (4.7%). 20% of the surveyed patients required treatment at home. Hospitalization and oxygen therapy was required in 3.5% of cases, while only 1.5% demanded intensive care admission. Only one fatality was encountered.ConclusionCOVID-19 infection in pateints with congenital heart disease exhibits a mild to moderate course, and doesn't necessarily increase risk of complicated disease. No correlation could be found between specific congenital heart lesion and disease severity.
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spelling doaj.art-34e95df22f6f40f1ad8e15b2aacaef0e2023-08-31T13:31:15ZengFrontiers Media S.A.Frontiers in Cardiovascular Medicine2297-055X2023-08-011010.3389/fcvm.2023.12351651235165COVID-19 in congenital heart disease patients: what did we learn?!Rana Zareef0Rana Zareef1Elio Salameh2Rawan Hammoud3Theresia Tannouri4Theresia Tannouri5Theresia Tannouri6Fadi Bitar7Fadi Bitar8Fadi Bitar9Mariam Arabi10Mariam Arabi11Mariam Arabi12Pediatric and Adolescent Medicine Department, American University of Beirut Medical Center, Beirut, LebanonFaculty of Medicine, American University of Beirut Medical Center, Beirut, LebanonFaculty of Medicine, American University of Beirut Medical Center, Beirut, LebanonFaculty of Medicine, American University of Beirut Medical Center, Beirut, LebanonPediatric and Adolescent Medicine Department, American University of Beirut Medical Center, Beirut, LebanonFaculty of Medicine, American University of Beirut Medical Center, Beirut, LebanonPediatric and Adolescent Medicine Department, Division of Pediatric Cardiology, American University of Beirut Medical Center, Beirut, LebanonPediatric and Adolescent Medicine Department, American University of Beirut Medical Center, Beirut, LebanonFaculty of Medicine, American University of Beirut Medical Center, Beirut, LebanonPediatric and Adolescent Medicine Department, Division of Pediatric Cardiology, American University of Beirut Medical Center, Beirut, LebanonPediatric and Adolescent Medicine Department, American University of Beirut Medical Center, Beirut, LebanonFaculty of Medicine, American University of Beirut Medical Center, Beirut, LebanonPediatric and Adolescent Medicine Department, Division of Pediatric Cardiology, American University of Beirut Medical Center, Beirut, LebanonAimCOVID-19 pandemic has spread widely at unpreceded pace. Cardiovascular comorbidities are significantly correlated with severe and critical illness. Nevertheless, studies examining the impact of congenital heart disease on COVID-19 severity are scarce and restricted to hospitalized patients. This study aims to explore the course of COVID-19 illness, severity and complications in patients with concomitant congenital heart disease.MethodologyThis study is a cross sectional survey that includes patients with congenital heart disease who are registered at the Children Heart Center at the American University of Beirut Medical Center. The survey was conducted in the pediatric cardiology outpatient clinics or remotely via phone calls.ResultsA total of 238 patients participated in the study, of which 47.9% had suspected or confirmed diagnosis of SARS-CoV-2 infection. The majority of patients had mild illness. The symptoms ranged between rhinorrhea (15.6%), cough (15.6%), low-grade fever (11.2%), anosmia (2.7%), ageusia (2.5%), headache (9.8%), high-grade fever (8.5%), gastrointestinal symptoms (7.6%), lethargy (6.3%), muscle aches (5.6%), difficulty breathing (5.4%), joint pain (4.7%), and chills (4.7%). 20% of the surveyed patients required treatment at home. Hospitalization and oxygen therapy was required in 3.5% of cases, while only 1.5% demanded intensive care admission. Only one fatality was encountered.ConclusionCOVID-19 infection in pateints with congenital heart disease exhibits a mild to moderate course, and doesn't necessarily increase risk of complicated disease. No correlation could be found between specific congenital heart lesion and disease severity.https://www.frontiersin.org/articles/10.3389/fcvm.2023.1235165/fullCOVID-19SARS-CoV-2coronaviruscongenital heart diseasecongenital cardiac abnormalities
spellingShingle Rana Zareef
Rana Zareef
Elio Salameh
Rawan Hammoud
Theresia Tannouri
Theresia Tannouri
Theresia Tannouri
Fadi Bitar
Fadi Bitar
Fadi Bitar
Mariam Arabi
Mariam Arabi
Mariam Arabi
COVID-19 in congenital heart disease patients: what did we learn?!
Frontiers in Cardiovascular Medicine
COVID-19
SARS-CoV-2
coronavirus
congenital heart disease
congenital cardiac abnormalities
title COVID-19 in congenital heart disease patients: what did we learn?!
title_full COVID-19 in congenital heart disease patients: what did we learn?!
title_fullStr COVID-19 in congenital heart disease patients: what did we learn?!
title_full_unstemmed COVID-19 in congenital heart disease patients: what did we learn?!
title_short COVID-19 in congenital heart disease patients: what did we learn?!
title_sort covid 19 in congenital heart disease patients what did we learn
topic COVID-19
SARS-CoV-2
coronavirus
congenital heart disease
congenital cardiac abnormalities
url https://www.frontiersin.org/articles/10.3389/fcvm.2023.1235165/full
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