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Covid-19 update 26/03/20

Updated guidance and recommendations for CHD patients

Congenital Heart Disease Patients at High Risk for Covid-19 Infection

The British Congenital Cardiac Association has produced guidance on the symptoms and signs of Covid-19 infection and has identified congenital heart patient groups who are vulnerable to the disease.

This information can be found at:

https://www.bcca-uk.org/pages/news_box.asp?NewsID=19495709

https://www.bcca-uk.org/pages/news_box.asp?NewsID=19495710

 

Since that guidance was produced, the Government and NHS have introduced more stringent measures on social distancing  and other measures to reduce the number of Covid 19 infections.

https://www.gov.uk/government/publications/covid-19-guidance-on-social-distancing-and-for-vulnerable-people/guidance-on-social-distancing-for-everyone-in-the-uk-and-protecting-older-people-and-vulnerable-adults

In addition, patient groups who are at particularly high risk (extremely vulnerable), based on the evidence to date, have been advised to take particularly stringent precautions. This guidance is available online at:

https://www.gov.uk/government/publications/guidance-on-shielding-and-protecting-extremely-vulnerable-persons-from-covid-19/guidance-on-shielding-and-protecting-extremely-vulnerable-persons-from-covid-19

With respect to cardiac disease, “women who are pregnant with significant heart disease, congenital or acquired” have been identified as an extremely vulnerable group. The British Cardiovascular Society and UK Maternal Cardiology Society have expanded guidance to provide more detail of which pregnant mothers are thought to fall into the extremely vulnerable group.  (https://mailchi.mp/bcs/bcs-newswire-799593?e=04c51bac7e)

On the basis of the current evidence, other groups of patients with congenital heart disease may fall into a “vulnerable” category according to our previous guidance, but do not fall into the “extremely vulnerable group” with the exception of pregnant mothers with cardiac disease as outlined above.

 

General concerns

Patients and parents should be reassured that congenital heart units across the country are working in a co-ordinated manner to maintain urgent services. Patients and parents with urgent concerns should continue to contact their cardiac unit in the usual way. Elective, non-urgent work has been scaled back, but every effort is being made to maintain urgent services.