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Diagnosis and Treatment of Pulmonary Embolism During the Coronavirus Disease 2019 Pandemic: A Position Paper From the National PERT Consortium.
- Source :
-
Chest [Chest] 2020 Dec; Vol. 158 (6), pp. 2590-2601. Date of Electronic Publication: 2020 Aug 27. - Publication Year :
- 2020
-
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.<br /> (Copyright © 2020 American College of Chest Physicians. Published by Elsevier Inc. All rights reserved.)
- 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
Subjects
Details
- Language :
- English
- ISSN :
- 1931-3543
- Volume :
- 158
- Issue :
- 6
- Database :
- MEDLINE
- Journal :
- Chest
- Publication Type :
- Academic Journal
- Accession number :
- 32861692
- Full Text :
- https://doi.org/10.1016/j.chest.2020.08.2064