1. Diagnosis and Treatment of Pulmonary Embolism During the Coronavirus Disease 2019 Pandemic: A Position Paper From the National PERT Consortium.
- Author
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Rosovsky RP, Grodzin C, Channick R, Davis GA, Giri JS, Horowitz J, Kabrhel C, Lookstein R, Merli G, Morris TA, Rivera-Lebron B, Tapson V, Todoran TM, Weinberg AS, and Rosenfield K
- Subjects
- Ambulatory Care, COVID-19 metabolism, Computed Tomography Angiography, Echocardiography, Fibrin Fibrinogen Degradation Products metabolism, Humans, Lower Extremity, Point-of-Care Systems, Practice Guidelines as Topic, Pulmonary Embolism complications, Pulmonary Embolism diagnosis, Pulmonary Embolism metabolism, Referral and Consultation, Risk Assessment, Ultrasonography, Aftercare, Anticoagulants therapeutic use, COVID-19 complications, Extracorporeal Membrane Oxygenation, Hospitalization, Patient Care Team organization & administration, Pulmonary Embolism therapy, Thrombolytic Therapy methods
- Abstract
The coexistence of coronavirus disease 2019 (COVID-19) and pulmonary embolism (PE), two life-threatening illnesses, in the same patient presents a unique challenge. Guidelines have delineated how best to diagnose and manage patients with PE. However, the unique aspects of COVID-19 confound both the diagnosis and treatment of PE, and therefore require modification of established algorithms. Important considerations include adjustment of diagnostic modalities, incorporation of the prothrombotic contribution of COVID-19, management of two critical cardiorespiratory illnesses in the same patient, and protecting patients and health-care workers while providing optimal care. The benefits of a team-based approach for decision-making and coordination of care, such as that offered by pulmonary embolism response teams (PERTs), have become more evident in this crisis. The importance of careful follow-up care also is underscored for patients with these two diseases with long-term effects. This position paper from the PERT Consortium specifically addresses issues related to the diagnosis and management of PE in patients with COVID-19., (Copyright © 2020 American College of Chest Physicians. Published by Elsevier Inc. All rights reserved.)
- Published
- 2020
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