[Medline]. Henzler T, Roeger S, Meyer M, Schoepf UJ, Nance JW Jr, Haghi D, et al. Chatterjee S, Chakraborty A, Weinberg I, Kadakia M, Wilensky RL, Sardar P, et al. A spiral CT scan shows thrombus in bilateral main pulmonary arteries. Pulmonary embolism at the level of the bronchus intermedius. Troponin-based risk stratification of patients with acute nonmassive pulmonary embolism: systematic review and metaanalysis. 2011 Apr 26. Pulmonary embolism (PE) is a blockage of an artery in the lungs by a substance that has moved from elsewhere in the body through the bloodstream (). Critical issues in the evaluation and management of adult patients presenting to the emergency department with suspected pulmonary embolism. Am J Respir Crit Care Med. [Medline]. 2011 Jan. 29(1):26-32. He was febrile with a temperature of 102 F, respiratory rate in the 20 s, and electrocardiogram with nonspecific T-wave abnormalities. No written consent has been obtained from the patients as there are no patient identifiable data included in this case report. In this report, we describe acute pulmonary embolism in three patients with COVID-19. 1986 Jul. Am J Med. 2012 Oct 4. Ward MJ, Sodickson A, Diercks DB, Raja AS. [Medline]. Agnelli G, Buller HR, Cohen A, Curto M, Gallus AS, Johnson M, et al. 2008 Mar. 2011 May 24. Pinede L, Ninet J, Duhaut P, Chabaud S, Demolombe-Rague S, Durieu I, et al. N Engl J Med. 9:49. Most recently, Chen et al. [Medline]. 366(14):1287-97. High D-dimer levels increase the likelihood of pulmonary embolism. Scherz N, Labarère J, Méan M, Ibrahim SA, Fine MJ, Aujesky D. Prognostic importance of hyponatremia in patients with acute pulmonary embolism. 6th ed. The patient received investigational hydroxychloroquine and azithromycin; however, respiratory status progressively deteriorated and required nonrebreather oxygen at 15 liters/min. 2011 Jun 7. 2010 Nov 1. [Medline]. The use of either clinical probability adjusted or age adjusted D-dimer interpretation has led to … [Full Text]. Mitchell RN, Kumar V. Hemodynamic disorders, thrombosis, and shock. BMJ. 35 (43):3033-69, 3069a-3069k. Hughes S. Rivaroxaban Stands up to standard anticoagulation for VTE treatment. Autopsy proven pulmonary embolism in hospital patients: are we detecting enough deep vein thrombosis?. 7 Integrated risk-adapted diagnosis and management. Pleuritic chest pain without other symptoms or risk factors may be a presentation of pulmonary embolism. [Medline]. Ann Intern Med. [Guideline] Guyatt GH, Akl EA, Crowther M, Gutterman DD, Schuünemann HJ, American College of Chest Physicians Antithrombotic Therapy and Prevention of Thrombosis Panel. 182(9):1178-83. A repeat D-dimer was 6425 NG/MLDDU (0–243). Pulmonary Embolism Presenting as Flank Pain: A Case Series. [Medline]. Ann Emerg Med. [Medline]. Minor forms of pulmonary embolism after abdominal operations. [Medline]. Zab Mosenifar, MD, FACP, FCCP is a member of the following medical societies: American College of Chest Physicians, American College of Physicians, American Federation for Medical Research, American Thoracic SocietyDisclosure: Nothing to disclose. These patients usually lack any other classical signs, symptoms, or known risk factors for pulmonary thromboembolism. Clinically important venous thromboembolism in pediatric critical care: a Canadian survey. Influence of preceding length of anticoagulant treatment and initial presentation of venous thromboembolism on risk of recurrence after stopping treatment: analysis of individual participants' data from seven trials. We propose more use of D-dimer elevation as part of treatment decision criteria for acute pulmonary embolism in patients with COVID-19-related ARDS and also encourage a low threshold for further evaluation including CT angiogram especially in patients with worsening or poorly improving clinical status. Forty percent of these patients had been seen by a physician in the weeks prior to their death. Acute pulmonary embolism: diagnosis with MR angiography. Gottschalk A, Stein PD, Sostman HD, Matta F, Beemath A. Impact of Vena Cava Filters on In-hospital Case Fatality Rate from Pulmonary Embolism. Wiener RS, Schwartz LM, Woloshin S. When a test is too good: how CT pulmonary angiograms find pulmonary emboli that do not need to be found. Geersing GJ, Erkens PM, Lucassen WA, Büller HR, Cate HT, Hoes AW, et al. Alonso-Martínez JL, Urbieta-Echezarreta M, Anniccherico-Sánchez FJ, Abínzano-Guillén ML, Garcia-Sanchotena JL. Available at http://www.medscape.com/viewarticle/812942. Patients with massive pulmonary embolism are in shock. Far left, view of the entire pelvis demonstrates iliac occlusion. 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