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10.1093/ehjcr/ytaa296

http://scihub22266oqcxt.onion/10.1093/ehjcr/ytaa296
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33089061!7499658!33089061
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suck abstract from ncbi

pmid33089061      Eur+Heart+J+Case+Rep 2020 ; 4 (FI1): 1-4
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  • Right atrial thrombus in a patient with COVID-19 pneumonia: a case report #MMPMID33089061
  • Shamsah MA; Bitar ZI; Alfoudri H
  • Eur Heart J Case Rep 2020[Oct]; 4 (FI1): 1-4 PMID33089061show ga
  • BACKGROUND: Significant coagulopathy and hyperinflammation are found in patients with coronavirus disease 2019 (COVID-19). Expert consensus has recommended prophylactic anticoagulation in COVID-19 patients due to the risk of thrombo-embolism. However, the use of therapeutic anticoagulation in these patients is still a matter of debate. CASE SUMMARY: We describe a patient with COVID-19 pneumonia and a clinical hyperinflammatory state. He developed early respiratory depression and required ventilation, and he subsequently developed haemodynamic instability. Point-of-care echocardiography demonstrated a right atrial thrombus and right ventricular dysfunction suggestive of acute massive pulmonary embolism. He was managed with veno-arterial extracorporeal membrane oxygenation and local thrombolysis. DISCUSSION: Critical cases of COVID-19 pneumonia are associated with hypercoagulation, and these patients should be monitored closely for complications. Therapeutic anticoagulation may play a role in the management and prevention of thrombo-embolism.
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