9. Preventive measures for CHD-patients? Should CHD patients of any age group be kept in strict and extensive isolation? No schools no kindergarten?

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9. Preventive measures for CHD-patients? Should CHD patients of any age group be kept in strict and extensive isolation? No schools no kindergarten?

British congenital cardiac association has suggested that adults and children with CHD, within the following groups should be considered more vulnerable to COVID-19 and other infections, and should therefore be particularly strict in following the social distancing measures:

  • Single ventricle patients.
  • Infants under 1 year with unrepaired congenital heart disease requiring surgery or catheter intervention.
  • Patients with chronic cyanosis (oxygen saturations <85% persistently)
  • Patients with severe cardiomyopathies
  • Patients with congenital heart disease on medication for heart failure
  • Patients with pulmonary hypertension
  • Patients after heart transplantation
  • Patients with CHD and significant comorbidities e.g. chronic kidney disease, chronic lung disease. [4]

Based on British Government definitions of social distancing, this would exclude attendance of such individuals at nurseries, school, college or universities. Socialising with family, going to restaurants and children’s parties should be avoided as well.

Children who do not fall into groups mentioned above should not be more likely to become infected with COVID-19 and there is no evidence of higher risk of complications, thus general rules of preventive measures should be applied.

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