COVID-19 AND PULMONARY HYPERTENSION

The health of the members of the pulmonary hypertension (PH) community is always the Pulmonary Hypertension Association’s (PHA’s) top concern. Read on to discover how to maintain your health, tips for daily living during the pandemic, COVID-19 updates and ways to connect with PHA.

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COVID-19 Frequently Asked Questions for the Pulmonary Hypertension Community (updated 4/4/2020)
The COVID-19 outbreak is causing significant concern worldwide and especially within the Pulmonary Hypertension (PH) community. The Pulmonary Hypertension Association (PHA) has prepared these Frequently Asked Questions (FAQ) to address many of the questions and concerns that we have heard from the PH community regarding COVID-19. This includes information from Centers for Disease Control and Prevention (CDC) on the risk to people with underlying health conditions and the steps you can take to protect yourself and your family.

Please call your PH physician or care provider if you are feeling unwell or have further questions.

Q: Are people with PH at greater risk for COVID-19 virus infection?

A: According to the CDC, there is no evidence to suggest that people with underlying health conditions are at higher risk of becoming infected with the COVID-19 virus. However, there is evidence that people with underlying health conditions, including all types of heart and lung diseases, have a higher risk of developing serious illness from the COVID-19 virus if they become infected.

Q: What safety precautions should I take as a PH patient?

A: These are challenging times and require some rethinking of approaches to daily living. Individuals should consult their PH health care teams with specific questions about personal health risks and safety.

The CDC has provided guidelines for people who are at higher risk. PHA recommends that you check the CDC website frequently for the most current guidelines. The CDC guidelines include:

    • Stay at home as much as possible to reduce your risk of being exposed.
    • Avoid crowds.
    • Take everyday precautions:
      • Keep space between yourself and others. It is recommended to keep at least 6 feet apart from others. Avoid large crowds or heavy traffic areas.
      • Limit close contact to other people who are sick.
      • Frequently wash your hands with soap for at least 20 seconds or use hand sanitizer with at least 60% alcohol content.
      • Avoid touching your face, especially your eyes, mouth and nose.
      • Avoid all non-essential travel, even short trips.
    • The CDC currently recommends covering your mouth and nose with a cloth face cover when around others. Everyone should wear a face covering in public settings such as the grocery store or pharmacy.
      • Cloth face coverings should not be used on young children under 2 years old, anyone who has trouble breathing or is unconscious, incapacitated or otherwise unable to remove the mask without assistance.
      • The recommended face coverings are not surgical masks or N-95 respirators, which must continue to be reserved for health care workers and other first responders.
      • The CDC provides instructions on how to wear face coverings, how to make homemade cloth face covers, how to safely remove a used face cover and how to safely clean cloth face covers.
      • Continue to keep 6 feet between you and others. The cloth face covers are not a substitute for social distancing.

People with PH and those close to them should continue taking precautions to keep themselves healthy and follow the CDC’s guidance for those at higher risk.

Q: Is it safe for me to go to work or my children to go to school?

A:
It is recommended that children with PH avoid crowds (fewer than 10 people). A child who is sick with a fever, cough, sore throat or difficulty breathing should not attend school. Distance learning or other remote options should be discussed with teachers and school administrators. Some school districts or local or state governments may decide to close schools. When schools are closed, children should avoid contact with other children outside of their households and avoid public parks and playground equipment. Monitor your local news for more information about any school district closings. Federal guidance on school responsibility for students with disabilities during COVID-19 can be found here.

It is recommended that adults with PH who are employed try to work remotely whenever possible. PH patients may be eligible for protections under the Americans with Disabilities Act (ADA), such as reasonable accommodations to perform the essential functions of their job. Find out more information about working with PH, including information about your rights, here.

Refer to your state or local government for specific restrictions. Specific questions about your personal risk factors and related actions should be directed to your care team who can help you determine if courses of action.

Q: What should I do if I am worried that someone I live with may be at risk of being infected due to their work or other circumstances (e.g. spouse works in a medical setting or in a profession in frequent contact with other)?

A:
The CDC provides guidance on reducing the risk of infection when someone in the house is sick. This includes having the sick member of your household stay in a separate room away from others in your home and use a separate bathroom if possible. Do not share linens/towels and food.

Discuss with your PH health care team your concern and whether they recommend additional precautions.

Q: Is it safe for me or my family member to have an in-person visit with my doctor or schedule non-emergency medical procedures?

A:
PH patients should continue with their regular daily care regimens per instructions by their PH health care team.

Routine PH clinic visits or non-emergency doctor’s visits can be conducted by telemedicine approaches (telephone, videoconferencing etc.) or postponed whenever possible to avoid unnecessary risk of exposure to COVID-19.

If you go to a hospital or care facility outside of where your PH health care team is located, have the health care providers reach out to your PH health care team for guidance and recommendations. Bring all your PH medicines and supplies with you.

Please consult your PH health care team for specific details prior to arriving for a scheduled visit, and ask whether a telemedicine visit is appropriate.

Q: What should I do if I am currently participating in a clinical trial?

A:
If you are participating in clinical research, please contact the research team about your study visits. While some research studies are temporarily pausing new patient enrollment, many clinical trials are making changes that will allow you to stay in the study while limiting in-person visits and/or relying on telemedicine visits.

Q: How do I know if my breathing issues are due to PH or COVID-19?

A:
Symptoms of COVID-19 may be difficult to distinguish from your PH and from other viral infections, especially during cold and flu season. These symptoms may include fever, cough, and/or shortness of breath.

Leaving your home may place you at a greater risk of COVID-19 exposure and may put others at risk. If you have symptoms of COVID-19 and are considering visiting a clinic, urgent care or emergency room for testing, please contact your PH health care team first to see if they will see you. Some doctors’ offices are not doing in-person visits during the COVID-19 pandemic unless it is an emergency. Urgent care clinics and emergency rooms also might not see you if you are concerned about testing and your PH is well managed. Telemedicine options with a health care team by video/phone may be a possibility. Your health care team will be able to work with you on how to proceed.

Currently, due to a limited supply of testing kits, many areas are only testing people for COVID-19 who need to be hospitalized or health care workers who become sick.

A list of emergency warning signs of COVID-19 can be found on the CDC website. Emergency warning signs include difficulty breathing, shortness of breath, severe chest pain, and blue lips. If you have these symptoms, please contact your doctor or EMS immediately.

Q: Are there treatments available for COVID-19?

A:
There are currently no antiviral medications recommended or licensed by the FDA for COVID-19. Care includes managing symptoms and any complications. Pharmaceutical companies and scientists are actively working in this area and hopefully there will be treatment options in the future.

As with any over-the-counter medications, there is a high potential for interactions with PH medications. Do not take herbal supplements or any “antiviral cures” without first consulting your PH care team.

Q: Should I worry about running out of medicine or supplies?

A:
The CDC recommends that you maintain enough medicine and supplies for several weeks in case you need to stay home for prolonged periods of time. Currently there is no indication that there will be any interruption for PAH prescriptions and refills. PHA is not aware of any manufacturing disruptions of PH medication caused by COVID-19.

There is currently a shortage throughout the United States of personal protective equipment, including facemasks, which should be saved for people who are caring for the sick, such as health care workers.

Certain PH medications may require blood and/or urine tests to be run to refill your prescription. If you are concerned about going to the hospital to have these tests, but you are short on medication, contact your PH care provider and/or specialty pharmacy. Other medications may require home visits by the specialty pharmacy. Most have halted these home visits for now, but again, speak to your health care provider and specialty pharmacy about any changes in services.

PHA will continue to monitor the availability of PAH medications and supplies during the COVID-19 outbreak.

Q: COVID-19 has caused a lot of anxiety for me and my family. What can I do?

A:
PHA is here to help! The “Living with PH” section of PHA Classroom provides resources to learn about coping, diet and nutrition, and exercise to help manage stress.

You may also experience a sense of loneliness or isolation due to social distancing, and PHA encourage you to use its many platforms to connect with other patients. Connect with another patient or caregiver now at PHAssociation.org/support or call 800-748-7274.

CDC provides information on coping with the fear and anxiety caused by the COVID-19 outbreak.

Our understanding about COVID-19 is continually evolving. It is important to maintain regular contact with the CDC website, PHA website and reliable news organizations and state health departments. Social media may be overwhelming at this time so please use good judgment with anything you read or hear.

Here an important websites you can visit:
https://www.cdc.gov/coronavirus/2019-ncov/specific-groups/high-risk-complications.html

Maintaining Your Health

Videos to Safely Start a Home Exercise Routine for PH Patients

Feeling restless while sheltering in place? Consult your doctor about how to safely resume or add exercise into your daily routine. The Pulmonary Hypertension Association (PHA) recently released five new videos designed to improve pulmonary hypertension (PH) patients’ understanding of major types of exercise. Check out the newest additions to our PHA Classroom videos.

Daily Living

Helpful, Healthful Housecleaning Tips

Frequently cleaning your house can keep COVID-19 and other viruses at bay. Get helpful tips to clean and sanitize your home from the CDC.

Join Our Virtual PH Community

5 Healthful Ways for PH Community to Connect

Much of the United States – and other countries – is under stay-at-home orders. Physical distancing can cause feelings of isolation, anxiety and depression. Discover ways to connect with others in the PH community to share common questions and concerns – and connect with each other.

PH & COVID-19

COVID-19 Symptoms

COVID-19 symptoms can include fever, cough and shortness of breath. But one in four infected people are thought to be asymptomatic. Learn about potential symptoms and warning signs.

Updates from PHA

PHA Offers Information on Travel, Advisories and Other COVID-19 Topics

Information about how COVID-19 affects communities throughout the country changes rapidly as the disease jumps from person to person. PHA is providing updates to keep you informed.

PHA Board of Trustees Cancels PHA 2020

The PHA 2020 International PH Conference and Scientific Sessions scheduled to take place in Anaheim, California, June 12-14, 2020, has been canceled. The PHA Board of Trustees unanimously voted to cancel Conference due to growing concerns about the impact of COVID-19 on the United States.

About COVID-19

A new coronavirus named SARS-CoV-2 is causing a global outbreak of a respiratory illness, coronavirus disease 2019 or COVID-19, which was first identified in Wuhan, China, in December 2019. Coronaviruses are a large family of viruses that range from the common cold to the Severe Acute Respiratory Syndrome (SARS-CoV) outbreak in 2003. Learn more.

Quick Links to the CDC

Facebook Updates

We’ve launched two new campaigns during the COVID-19 pandemic: #PHunatHome features all kinds of ways to entertain yourselves at home. #PHoreverThankful urges everyone to share their gratitude for our health care professionals at 8 p.m. local time. See our latest posts, below.

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