id	author	title	date	pages	extension	mime	words	sentences	flesch	summary	cache	txt
cord-325609-n6dpac6i	Dawson, Kathryn L.	Acute increase in deaths among adult congenital heart disease patients during COVID-19 - single center experience.	2020-06-13		.txt	text/plain	1512	79	49	title: Acute increase in deaths among adult congenital heart disease patients during COVID-19 single center experience. Over the 12-month period preceding the SARS-CoV-2 related stay-at-home order, a total of 4 patients followed by the ACHD service at the University of Washington Medical Center with defects of various severities died in an acute setting. We believe that this change in emergency department volume, combined with the acute increase in mortality reported in this case series, emphasizes the potential adverse outcomes of delayed presentations in medically complex patients. These cases highlight the need for public education regarding the imperative to present for medical care when symptoms would have merited emergency treatment prior to the pandemic, particularly amongst our most vulnerable populations. It also highlights the need for routine follow-up care for patients with congenital heart disease, even in the presence of clinical stability, to assess for subclinical symptom burdens that may herald future acute presentations.	./cache/cord-325609-n6dpac6i.txt	./txt/cord-325609-n6dpac6i.txt