Last updated 20 August 2020
Original Authors: Dr Jacqui Bollmann, Consultant Occupational Physician
Dr Tony Williams, Consultant Occupational Physician, Working Fit Ltd
Updated by Dr Tony Williams
|
Cardiovascular conditions
|
Vulnerability
|
References
|
| Angina
That restricts your daily life Frequent use of GTN |
Use clinical judgement that reflects the average age value for chronic heart disease for that person – likely to be significantly above the average age value | Provisional figure, may be higher |
| Angina
Well controlled |
Use clinical judgement that reflects the average age value for chronic heart disease for that person – likely to be below the average age value | |
| Atrial fibrillation | Increased or low | https://www.bhf.org.uk/informationsupport/heart-matters-magazine/news/coronavirus-and-your-health
insufficient evidence at present to stratify risk |
| Brugada syndrome
Long QT syndrome |
Increased
May need extra ECG monitoring Avoid very high pyrexia |
https://www.bhf.org.uk/informationsupport/heart-matters-magazine/news/coronavirus-and-your-health |
| Cardiomyopathy
With breathlessness Limits daily life Associated with problems with heart function |
Use clinical judgement that reflects the average age value for heart failure, may be above the average age value | Provisional figure, may be higher |
| Cardiomyopathy
Well controlled with treatment |
Use clinical judgement that reflects the average age value for heart failure | |
| Cardiovascular disease
general |
Use clinical judgement that reflects the average age value for that person
|
|
| Congenital heart disease
With lung disease pulmonary hypertension heart failure complex (Fontan, single ventricle, cyanosis etc.) |
Use clinical judgement that reflects the average age value for heart failure, may be above the average age value | Provisional figure, may be higher |
| Coronary heart disease
Any past history of MI Stent Bypass surgery |
Use clinical judgement that reflects the average age value for chronic heart disease for that person | Provision figure, may be higher |
| Diabetes
And any heart condition |
Add the appropriate age for diabetes relevant to control level | |
| Endocarditis | https://www.bhf.org.uk/informationsupport/heart-matters-magazine/news/coronavirus-and-your-health
there is no evidence COVID-19 causes endocarditis |
|
| Heart failure
|
Use clinical judgement that reflects the average age value for heart failure | Provisional figure, may be higher |
| Heart transplant | Use clinical judgement that reflects the average age value for organ transplant | https://www.bhf.org.uk/informationsupport/heart-matters-magazine/news/coronavirus-and-your-health |
| Heart valve disease
Severe Symptoms including breathlessness Awaiting valve surgery |
Use clinical judgement that reflects the average age value for heart failure | Provisional figure, may be higher |
| Heart valve
Asymptomatic murmur |
Low | |
| Hypertension | Add the relevant age value | |
| Myocarditis, in past | Low | There is no evidence a past history of myocarditis would place patients at increased risk. |
| Myopericarditis
Completed all treatment (NSAIDs/Colchicine) No complications At least three months from diagnosis |
As per pericarditis below | |
| Kidney disease
CKD 3, 4 and 5, in addition to heart disease |
Add the relevant age value | |
| Pacemaker | Depends on underlying pathology | https://www.bhf.org.uk/informationsupport/heart-matters-magazine/news/coronavirus-and-your-health
Pacemaker itself does not increase risk |
| Pericarditis, Acute
Symptomatic |
Use clinical judgement in adding an age value for chronic heart disease or heart failure depending on symptoms, complications and treatment | https://www.acc.org/latest-in-cardiology/ten-points-to-remember/2015/10/30/12/01/2015-esc-guidelines-for-the-diagnosis-and-management-of-pericardial-diseases
https://www.hse.ie/eng/health/az/p/pericarditis/treating-pericarditis.html
https://www.uptodate.com/contents/recurrent-pericarditis?topicRef=15800&source=see_link |
| Pericarditis, Acute
Benign course with response to treatment and
|
Low | https://www.acc.org/latest-in-cardiology/ten-points-to-remember/2015/10/30/12/01/2015-esc-guidelines-for-the-diagnosis-and-management-of-pericardial-diseases
https://www.hse.ie/eng/health/az/p/pericarditis/treating-pericarditis.html
https://www.uptodate.com/contents/recurrent-pericarditis?topicRef=15800&source=see_link |
| Pericarditis caused by:
Tuberculosis Rheumatoid arthritis, SLE Radiotherapy Renal failure Hypothyroidism Cancer Myocardial infarction Trauma: post-surgery/RTA medication |
Use clinical judgement in adding an age value for chronic heart disease or heart failure depending on symptoms, complications and treatment | https://www.acc.org/latest-in-cardiology/ten-points-to-remember/2015/10/30/12/01/2015-esc-guidelines-for-the-diagnosis-and-management-of-pericardial-diseases
https://www.hse.ie/eng/health/az/p/pericarditis/treating-pericarditis.html
https://www.uptodate.com/contents/recurrent-pericarditis?topicRef=15800&source=see_link |
| Pericarditis, recurrent | Low to increased as per acute depending on recurrent episode | Consider treatment that the individual has been on in cases of refractory symptoms, as this may include prednisolone and immune therapy |
| Pregnant
With significant heart disease |
Use clinical judgement in adding an age value for chronic heart disease or heart failure depending on symptoms, complications and treatment
Consider separate guidance for pregnancy |
https://www.bhf.org.uk/informationsupport/heart-matters-magazine/news/coronavirus-and-your-health |
| Respiratory disease
And any heart disease |
Add relevant age factor | |
| Smoking with any heart disease | No additional age added | No evidence that smoking is a separate vulnerability factor |
| Stroke
With any heart condition |
Use clinical judgement in adding the relevant age value for cerebrovascular disease | https://www.bhf.org.uk/informationsupport/heart-matters-magazine/news/coronavirus-and-your-health |
| Surgery
Open heart surgery in last three months |
Use clinical judgement that reflects recovery rate from surgery | https://www.bhf.org.uk/informationsupport/heart-matters-magazine/news/coronavirus-and-your-health |
| Vascular dementia
With any heart condition |
Use clinical judgement in adding the relevant age value for cerebrovascular disease | https://www.bhf.org.uk/informationsupport/heart-matters-magazine/news/coronavirus-and-your-health |
Risk of severe illness or death if contracts COVID-19. Read more
Likely to need hospitalisation if contracts COVID-19, with protracted illness and heavy NHS burden. Read more
Increased risk compared with healthy individual but should recover.
No greater risk than healthy individual.