Coronavirus disease 2019 and the young heart: prevention, treatment, and return to play.

Curr Opin Pediatr

Department of Pediatrics, Section of Pediatric Cardiology, Yale School of Medicine, New Haven, Connecticut, USA.

Published: October 2022

AI Article Synopsis

  • - The guidelines for managing COVID-19 have evolved significantly, emphasizing the importance of understanding disease prevention, cardiac effects, and safe return to physical activities for children and adolescents.
  • - Mitigation strategies can decrease COVID-19 transmission, but their success varies; children generally face a low risk of severe illness, especially with vaccination, which greatly reduces adverse outcomes.
  • - Efforts should focus on encouraging vaccinations in at-risk youth and promoting safe physical activity, recognizing its benefits for well-being and adjusting strategies based on community risk levels.

Article Abstract

Purpose Of Review: COVID-19-related guidance has changed dramatically since the onset of the pandemic. Awareness of data regarding prevention of disease, the cardiac manifestations and treatment of acute COVID-19 and multisystem inflammatory syndrome in children, and return to physical activity following an infection allows for appropriate adjustment of current care models and guides future study.

Recent Findings: Severe acute respiratory syndrome coronavirus 2 transmission can be reduced using various mitigation strategies, though their effectiveness differs based on viral prevalence. The risk of severe disease during acute COVID-19 infection is low in children and adolescents, though specific risk factors have been identified. COVID-19 vaccination significantly decreases the risk of severe disease and poor outcomes. Regular physical activity positively affects well being and has been a focus of recent guidance regarding well tolerated return to activities following an infection.

Summary: The use of strategies to reduce viral transmission will depend on individuals' and communities' risk tolerance and on current viral prevalence. COVID-19 vaccination should be encouraged, particularly in patients with identified risk factors. Allowing children and adolescents to safely participate in physical and other activities should continue to be a focus of our clinical and research efforts given their myriad benefits in this population.

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Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC9593324PMC
http://dx.doi.org/10.1097/MOP.0000000000001167DOI Listing

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