Pulmonary embolism in patients with COVID-19: awareness of an increased prevalence

J Poissy, J Goutay, M Caplan, E Parmentier… - Circulation, 2020 - Am Heart Assoc
J Poissy, J Goutay, M Caplan, E Parmentier, T Duburcq, F Lassalle, E Jeanpierre, A Rauch…
Circulation, 2020Am Heart Assoc
CORRESPONDENCE on admission and acute degradation of hemodynamic or respiratory
status. All CTPAs were performed with multibar computed tomography with no difference in
the injection protocol regardless of whether the CTPA was performed for PE diagnosis. The
number of CTPAs was higher in patients with COVID-19 than in patients hospitalized in the
ICU during the same time period in 2019. This historical control group reflects the global
practice in our ICU. Because only 34% of patients from this group have respiratory failure …
CORRESPONDENCE on admission and acute degradation of hemodynamic or respiratory status. All CTPAs were performed with multibar computed tomography with no difference in the injection protocol regardless of whether the CTPA was performed for PE diagnosis. The number of CTPAs was higher in patients with COVID-19 than in patients hospitalized in the ICU during the same time period in 2019. This historical control group reflects the global practice in our ICU. Because only 34% of patients from this group have respiratory failure requiring CTPA (Table), a potential bias of an increased detection of PE in patients with COVID-19 could have been generated. That is why we compared patients with COVID-19 and patients with influenza admitted to the ICU for respiratory failure in 2019. Even if the number of CTPAs performed in patients with influenza was higher than in patients with COVID-19, fewer PEs were identified, reinforcing the increased risk of PE in patients with COVID-19. The low number of associated deep venous thromboses in patients with COVID-19 may suggest that they have pulmonary thrombosis rather than embolism.
Am Heart Assoc
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