11. What limitations are paediatric cardiologists facing in terms of CHD diagnostics and treatment in the presence of symptomatic COVID-19?

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11. What limitations are paediatric cardiologists facing in terms of CHD diagnostics and treatment in the presence of symptomatic COVID-19?

Not only have non-invasive cardiological diagnostic procedures been limited to urgent and emergency situations, but also paediatric/congenital catheterization laboratories have dramatically reduced case volumes by postponing elective procedures (32). Hence availability of catheterization is limited in the vast majority of centers. Cardiac centers in regions with greater Covid-19 prevalence are more likely to delay urgent but not emergency case types. The decision regarding urgent cardiac surgery is expected to be based on a multidisciplinary team decision and if possible, surgery should be delayed until the patient’s symptoms have improved and/or testing has been repeatedly negative (59, 60).

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