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New Guidance for Patients with Recent or Prior COVID19 Infection

Dear SBP Families,


Dr. Henry and I wanted to reach out with an important update related to children, COVID19, the rare but serious potential for cardiac complications, and new guidance on return to PE and sports clearance. This is an important topic for all parents to understand – so please read on here and also visit our updated COVID19 Resources page.

Current data suggest that a very small proportion of children with COVID19 infection can go on to develop a serious condition called myocarditis (heart muscle inflammation). Symptoms may include chest pain, shortness of breath, palpitations or syncope (loss of consciousness).

Fortunately, most children are either asymptomatic or minimally symptomatic with COVID19 infection – this is published widely and is also what we have observed here at Sound Beach Pediatrics since the pandemic began.

Among experts and academic institutions, there is a general consensus that the risk of cardiac complications increases with more significant symptoms of infection. Sound Beach Pediatrics has reviewed the most recent AAP guidelines, as well as guidance from a number of academic medical centers. We are implementing a new protocol for post-COVID19 PE and sports clearance, without age specification given how active school-aged children are.

Moving forward:

  • If your child develops COVID19 infection, we will ask you to fill out our Daily Symptom Checker and to come in to our office for a follow up visit 2 weeks after symptom resolution.
  • Please connect with our office by phone or portal for fever/ fatigue/ chills/ muscle aches lasting 4 days or more.
  • Call us immediately for any symptoms such as chest pain, palpitations, shortness of breath, loss of consciousness, or extreme lethargy.


  • If your child has had confirmed COVID19 infection (or strongly suspected), please reach out to us and make an appointment to come in for an office visit.
  • We will review your child’s symptom history, perform a physical exam, and guide you on any next steps.

We expect recommendations will evolve as we continue to receive new information related to COVID19 infection and its complications. Sound Beach Pediatrics will keep you informed and continue to work collaboratively with our local schools as well, to ensure best processes.

Please reach out with any concerns. We care deeply for your children and their health and are grateful for the continued trust you place in us.


Dr. Katy and The Sound Beach Pediatrics Team