Characteristics of patients with ACHD and COVID-19 disease course
Overall (N=105) | Uncomplicated course (n=92) | Complicated course (n=13) | P value* | |
Age (years) | 38±13 | 37±12 | 47±13 | 0.009 |
Age range (years) | 16–75 | 16–75 | 21–64 | |
Female gender, n (%) | 61 (58) | 56 (61) | 5 (38) | 0.125 |
BMI (kg/m2), n (%) | 0.001 | |||
BMI<25 | 66 (63) | 63 (68) | 3 (23) | |
BMI 25–30 | 26 (25) | 21 (23) | 5 (38) | |
BMI>30 | 13 (12) | 8 (9) | 5 (38) | |
Comorbidities, n (%) | 0.003 | |||
None | 62 (59) | 58 (63) | 4 (31) | |
One | 23 (22) | 21 (23) | 2 (15) | |
Two or three | 20 (19) | 13 (14) | 7 (54) | |
Cardiac defect | ||||
Cyanotic heart disease or ES | 7 | 3 | 4 (2 deaths) | |
Fontan circulation | 5 | 4 | 1 | |
TGA | 9 | 8 | 1 | |
Other complex defect | 4 | 4 | 0 | |
Tetralogy of Fallot | 18 | 17 | 1 (1 death) | |
Ebstein anomaly | 4 | 4 | 0 | |
Aortic coarctation | 10 | 9 | 1 | |
Other moderately complex defect | 8 | 7 | 1 | |
Repaired shunt lesion | 17 | 17 | 0 | |
Residual shunt lesion | 5 | 3 | 2 | |
Repaired valve lesion | 12 | 9 | 3 (2 deaths) | |
Unrepaired valve lesion | 3 | 3 | 0 | |
Other simple defect | 3 | 3 | 0 | |
Cardiac defect complexity, n (%) | 0.423 | |||
Complex | 25 (24) | 20 (22) | 5 (38) | |
Moderately complex | 39 (37) | 36 (39) | 3 (23) | |
Simple | 41 (39) | 36 (39) | 5 (38) | |
Main defect related residual problems | 0.089 | |||
No residual problems | 39 (37) | 34 (37) | 5 (38) | |
Valvular problems | 38 (36) | 36 (39) | 2 (15) | |
Heart failure | 10 (10) | 9 (10) | 1 (8) | |
Arrhythmia | 11 (10) | 9 (10) | 2 (15) | |
Pulmonary hypertension | 7 (7) | 4 (4) | 3 (23) |
TGA includes patients with TGA after atrial switch, arterial switch and Rastelli-type procedure, as well as patients with congenitally corrected TGA; residual shunt lesion includes patients with a residual shunt after defect repair and patients with small, unrepaired shunts; other simple/moderately complex/complex defects include patients with corresponding lesions not included in any of the other categories.
*P value for the comparison of patients with and without complicated course.
ACHD, adult congenital heart disease; BMI, Body Mass Index; ES, Eisenmenger syndrome; TGA, transposition of the great arteries.