id	author	title	date	pages	extension	mime	words	sentences	flesch	summary	cache	txt
cord-274491-921orhjg	Chau, Vinh Q.	The Imperfect Cytokine Storm: Severe COVID-19 with ARDS in Patient on Durable LVAD Support	2020-04-08		.txt	text/plain	1475	99	45	title: The Imperfect Cytokine Storm: Severe COVID-19 with ARDS in Patient on Durable LVAD Support Abstract As health systems worldwide grapple with the COVID-19 pandemic, patients on durable LVAD support represent a unique population at risk for the disease. We outline such a patient who developed COVID-19 complicated by "cytokine storm" with severe ARDS and myocardial injury; and describe the challenges that arose during management. We present such a patient who developed COVID-19 complicated by "cytokine storm" with severe ARDS and myocardial injury and illustrate clinical considerations that arose during his clinical course. In lieu of absolute values, the relative change in these biomarkers may be more pertinent in grading COVID-19 severity in patients on LVAD support. Immunomodulatory biologics such as tocilizumab are reserved for severe COVID-19 defined by the presence of both worsening respiratory failure and cytokine storm as evidenced by increasing inflammatory markers.	./cache/cord-274491-921orhjg.txt	./txt/cord-274491-921orhjg.txt