id	author	title	date	pages	extension	mime	words	sentences	flesch	summary	cache	txt
cord-348881-w0moe21t	Creel-Bulos, Christina	Acute Cor Pulmonale in Critically Ill Patients with Covid-19	2020-05-06		.txt	text/plain	630	47	46	To rapidly communicate information on the global clinical effort against Covid-19, the Journal has initiated a series of case reports that offer important teaching points or novel findings. The clinical scenario and echocardiographic findings in one representative patient are provided (see the Video, available with the full text of this case at NEJM.org). On ICU day 8, the patient became acutely hypotensive and had rapid progression to cardiac arrest with pulseless electrical activity. Over a 48-hour period, five patients who were admitted to ICUs within our hospital system had profound hemodynamic instability due to the development of acute cor pulmonale (clinical details are summarized in Table 1 ). 1-3 Although acute pulmonary thromboembolism was the most likely cause of right ventricular failure in these patients, this was not definitively confirmed in all cases. Acute cor pulmonale causing obstructive shock should be included in the differential diagnosis in critically ill patients with Covid-19.	./cache/cord-348881-w0moe21t.txt	./txt/cord-348881-w0moe21t.txt