https://github.com/ahmednafies/fastapi_sqlalchemy_alembic/blob/c97cca7438faaf20bddf7451f34561b193fdf57f/main.py#L20
If the database is down or the database call is slow for any reason your website will be down. This is a self inflicted DoS. The async keyword should not be used here.
SQLalchemy doesn't support asycio yet. See Databases or GINO for async wrappers around SQL Alchemy.
Otherwise, thanks for the boilerplate.