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Elevated D-Dimer and acute pulmonary embolism in COVID-19 patients / Dímero-D elevado y tromboembolismo pulmonar agudo en pacientes con COVID-19
Santos-Poleo, Yoselin Dos; Pérez-Sánchez, Lorenzo; Ocanto, Abrahams; Oquillas-Izquierdo, Diana; Rodríguez-Recio, Francisco.
Afiliação
  • Santos-Poleo, Yoselin Dos; Hospital General de Segovia. Department of Diagnostic Imaging. Segovia. Spain
  • Pérez-Sánchez, Lorenzo; Hospital General de Segovia. Department of Diagnostic Imaging. Segovia. Spain
  • Ocanto, Abrahams; Hospital Universitario La Paz. Radiation Oncology Department. Madrid. Spain
  • Oquillas-Izquierdo, Diana; Hospital General de Segovia. Department of Diagnostic Imaging. Segovia. Spain
  • Rodríguez-Recio, Francisco; Hospital General de Segovia. Department of Diagnostic Imaging. Segovia. Spain
J. negat. no posit. results ; 5(12): 1516-1527, dic. 2020. ilus, tab
Article em En | IBECS | ID: ibc-195998
Biblioteca responsável: ES1.1
Localização: BNCS
ABSTRACT
INTRODUCTION: It has been determined that patients with SARS-CoV-2 infection and severe pneumonia with elevated D-dimer values ​​can develop acute pulmonary thromboembolism (APE) as a complication, being one of the causes related to mortality in this group of patients. METHODS: A retrospective analysis of 12 patients diagnosed with SARS-CoV-2 infection with high clinical suspicion of APE confirmed by computed tomography pulmonary angiopgraphy (CTPA) was performed and the described findings are described. RESULTS: 12 patients with diagnosis of severe pneumonia, elevated D-dimer 9.2 μg / ml (1.4 - ˃20 μg / mL) and confirmation of SARS-CoV-2 infection through real-time reverse transcription polymerasa chain reaction (RT-PCR). APEs were observed mainly in segmental arteries (75%) and main arteries (25%). Pneumonia with patched areas of bilateral ground glass opacities was observed in 100% of the sample as a typical finding of SARS-CoV-2 infection. CONCLUSION: SARS-CoV-2 infection is related to elevation of D-dimer and APE. The CTPA determines the diagnosis, severity and timely management (anticoagulation) of patients with APE. Therefore CTPA should be considered in all patients with elevated D-dimer or clinical worsening
Assuntos

Texto completo: 1 Coleções: 06-national / ES Base de dados: IBECS Assunto principal: Pneumonia Viral / Embolia Pulmonar / Biomarcadores / Infecções por Coronavirus / Pandemias Limite: Aged / Female / Humans / Male Idioma: En Revista: J. negat. no posit. results Ano de publicação: 2020 Tipo de documento: Article

Texto completo: 1 Coleções: 06-national / ES Base de dados: IBECS Assunto principal: Pneumonia Viral / Embolia Pulmonar / Biomarcadores / Infecções por Coronavirus / Pandemias Limite: Aged / Female / Humans / Male Idioma: En Revista: J. negat. no posit. results Ano de publicação: 2020 Tipo de documento: Article