Self isolation and no exercise 10 d Moderate Illness Self isolation no exercise 10 days AFTER 10 days symptom free Cardiac sx ECG Troponin Echo Consider Amb Monitor ID: 918695
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Slide1
+ COVID Test
Mild/Asymptomatic
Self isolation, and no exercise 10 d
Moderate Illness
Self isolation, no exercise 10 days.
AFTER 10 days symptom free
:
-Cardiac
sx
???
-ECG
-Troponin
-Echo
-Consider Amb MonitorStress TestCMR
AFTER 10 days symptom free
No testing
New cardiac symptoms
Negative
RTP
with slow graded escalation of activity
Severe Illness
At least 10-14 days symptom free
Formal Risk Stratification:
-Cardiac
sx
???
-ECG
-Troponin
-Echo
-Consider Amb MonitorStress TestCMR
Mild/Asymptomatic
Moderate Illness
New *Cardiac Symptoms
Formal Risk
S
tratification
:
-Strong Consideration for cardiology consult-*Cardiac symptoms-ECG-Troponin-Echo-Consider Amb MonitorStress TestCMR
Formal Risk Stratification:-Cardiology consult-*Cardiac symptoms-ECG-Troponin-Echo- Strongly Consider Amb MonitorStress TestCMR
Myocarditis Guidelines:Avoid vigorous activity/sports 3-6 monthsRepeat: Formal Risk Stratification/Sports participation eligibility evaluation
Positive
Positive findings or Strong clinical suspicion
Negative
RTP with slow graded escalation of activity
RTP with slow graded escalation of activity
Severe Illness
MIS-C
Mild/Asymptomatic
< 3-5 days
sx
:
Nonspecific and self-limited fatigue Anosmia
AgeusiaN/V/D Cough Sore throat Nasal congestion
Moderate Illness
>3-5 days sx, Non- hospitalizedPersistent fever Chills myalgias Severe lethargy*Cardiac Symptoms *Cardiac Symptoms after RTP
Severe Illness/MIS-C
Moderate illness symptoms PLUS:HospitalizationHypoxemiaRespiratory collapse requiring oxygen/mech. ventilatory supportCV collapse requiring inotropic supportMIS-C
YES
Post COVID-19 Return To Play Recommendations
*
Cardiac Symptomsdyspnea/chest pain/chest tightness/palpitations / exercise intolerance
Slide2+ COVID Test
Mild/Asymptomatic
Self isolation, and no exercise 10 d
Moderate Illness
Self isolation, no exercise 10 days.
AFTER 10 days symptom free
:
-Cardiac
sx
???
-ECG
-Troponin
-Echo
-Consider Amb MonitorStress TestCMR
AFTER 10 days symptom free
No testing
New cardiac symptoms
Negative
RTP
with slow graded escalation of activity
Severe Illness
At least 10-14 days symptom free
Formal Risk Stratification:
-Cardiac
sx
???
-ECG
-Troponin
-Echo
-Consider Amb MonitorStress TestCMR
Mild/Asymptomatic
Moderate Illness
New *Cardiac Symptoms
Formal Risk
S
tratification
:
-Strong Consideration for cardiology consult-*Cardiac symptoms-ECG-Troponin-Echo-Consider Amb MonitorStress Test
CMRFormal Risk Stratification:-Cardiology consult-*Cardiac symptoms-ECG-Troponin-Echo- Strongly Consider Amb MonitorStress Test
CMRMyocarditis Guidelines:Avoid vigorous activity/sports 3-6 monthsRepeat: Formal Risk Stratification/Sports participation eligibility evaluation
Positive
Positive findings or Strong clinical suspicion
Negative
RTP with slow graded escalation of activity
RTP with slow graded escalation of activity
Severe Illness
MIS-C
Mild/Asymptomatic
< 3-5 days
sx
:
Nonspecific and self-limited fatigue Anosmia
AgeusiaN/V/D Cough Sore throat Nasal congestion
Moderate Illness
>3-5 days sx, Non- hospitalizedPersistent fever Chills myalgias Severe lethargy*Cardiac Symptoms *Cardiac Symptoms after RTP
Severe Illness/MIS-C
Moderate illness symptoms PLUS:HospitalizationHypoxemiaRespiratory collapse requiring oxygen/mech. ventilatory supportCV collapse requiring inotropic supportMIS-C
YES
Post COVID-19 Return To Play Recommendations
*
Cardiac Symptomsdyspnea/chest pain/chest tightness/palpitations / exercise intolerance