Pulmonary embolism and COVID-19

June 02, 2020

DETROIT - Researchers at Henry Ford Health System in Detroit say early diagnosis of a life-threatening blood clot in the lungs led to swifter treatment intervention in COVID-19 patients.

In a new study published recently in the journal Radiology, researchers found that 51 percent of patients found to have a pulmonary embolism, or PE, were diagnosed in the Emergency Department, the entry point for patients being admitted to the hospital.

In Europe, research has shown that most cases of PE were diagnosed in patients admitted to the intensive care unit after being on a ventilator for several days.

In the Henry Ford study, researchers say 72 percent of PE diagnoses were in patients who did not require "ICU-level care," suggesting that timely diagnosis and use of blood thinners could have played a role in the treatment process.

"Based on our study, early detection of PE could further enhance and optimize treatment for patients first presenting in the Emergency Department," says Pallavi Bhargava, M.D., an infectious diseases physician involved in the study. "We advise clinicians to think of PE as an additional complication early on during the admission of patients whose symptoms and lab results point to that condition."

Thomas Song, M.D., a radiologist and the study's senior author, says a timely pulmonary CT angiography made the difference in the PE diagnosis. "We recommend CT angiography because a traditional CT scan may not pick up the blood clot," Dr. Song says.

In addition to the early detection finding, other key highlights emerged from the retrospective study of 328 COVID-19 patients who underwent a pulmonary CT angiography between March 16 and April 18 at Henry Ford's acute care hospitals:"Our findings suggest that patients who test positive for COVID-19 should be started on preventive blood thinners early on in their treatment and that the need for CT angiography be assessed on a case by case basis to look for blood clots," Dr. Bhargava says. "Our ER doctors played a key role in meticulously assessing these patients, evaluating their d-dimer marker value and ordering the right CT scans to identify these blood clots so early in the diagnosis."
-end-
MEDIA CONTACT: David Olejarz / David.Olejarz@hfhs.org / 313.874.4094

Henry Ford Health System

Related Blood Clots Articles from Brightsurf:

New cause of COVID-19 blood clots identified
A new study reveals that COVID-19 triggers production of antibodies circulating through the blood, causing clots in people hospitalized with the disease.

Children who take steroids at increased risk for diabetes, high blood pressure, blood clots
Children who take oral steroids to treat asthma or autoimmune diseases have an increased risk of diabetes, high blood pressure, and blood clots, according to Rutgers researchers.

COVID-19 may cause deadly blood clots
COVID-19 may increase the risk of blot cots in women who are pregnant or taking estrogen with birth control or hormone replacement therapy, according to a new manuscript published in the Endocrine Society's journal, Endocrinology.

New evidence for how blood clots may form in very ill COVID-19 patients
Neutrophil Extracellular Traps (NETs) have been implicated in causing excessive clotting in cancer patients.

Researchers find new way to detect blood clots
Researchers in the Department of Biomedical Engineering at Texas A&M University are working on an entirely new way to detect blood clots, especially in pediatric patients.

High rate of blood clots in COVID-19
COVID-19 is associated with a high incidence of venous thromboembolism, blood clots in the venous circulation, according to a study conducted by researchers at Brighton and Sussex Medical School (BSMS), UK.

New tool helps distinguish the cause of blood clots
A new tool using cutting-edge technology is able to distinguish different types of blood clots based on what caused them, according to a study published today in eLife.

Hookah smoke may be associated with increased risk of blood clots
In a new study conducted in mice, researchers found that tobacco smoke from a hookah caused blood to function abnormally and be more likely to clot and quickly form blood clots.

Reducing the risk of blood clots in artificial heart valves
People with mechanical heart valves need blood thinners on a daily basis, because they have a higher risk of blood clots and stroke.

New study provides insight into the mechanisms of blood clots in cancer patients
Researchers have identified a potential new signaling pathway that may help further the understanding of blood clot formation in cancer patients and ultimately help prevent this complication from occurring.

Read More: Blood Clots News and Blood Clots Current Events
Brightsurf.com is a participant in the Amazon Services LLC Associates Program, an affiliate advertising program designed to provide a means for sites to earn advertising fees by advertising and linking to Amazon.com.