id	author	title	date	pages	extension	mime	words	sentences	flesch	summary	cache	txt
cord-286293-f5qg7vcz	Ullah, Waqas	COVID-19 complicated by Acute Pulmonary Embolism and Right-Sided Heart Failure	2020-04-17		.txt	text/plain	1094	78	47	Since the end of December 2019, when the first cases of novel Severe Acute Respiratory Syndrome Coronavirus-2 (SARS-CoV-2) were detected in Wuhan, China, the disease has spread exponentially. [2] In up to 15% of patients, the natural course of the disease is complicated by severe interstitial pneumonia, which can lead to acute respiratory distress syndrome (ARDS), multi-organ failure including acute kidney injury, disseminated intravascular coagulation and death. [2] To our knowledge, there have been no reported cases of COVID-19 complicated by massive pulmonary embolism and right-sided heart failure. [4] A higher risk of vessel thrombosis has been correlated with the severity of the disease and multiorgan involvement, leading support to the argument of therapeutic anticoagulation of COVID-19 patients with elevated d-dimer levels. In the present case, the patient had elevated CRP and d-dimer levels with no other risk factor for pulmonary embolism, indicating COVID-19 related hypercoagulable state as possible etiology for thrombosis in the pulmonary vasculature.	./cache/cord-286293-f5qg7vcz.txt	./txt/cord-286293-f5qg7vcz.txt