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- Simon R Mucha, Siddharth Dugar, Keith McCrae, Douglas Joseph, John Bartholomew, Gretchen L Sacha, and Michael Militello.
- Critical Care Medicine, Respiratory Institute, Cleveland Clinic.
- Cleve Clin J Med. 2020 Jul 31; 87 (8): 461-468.
AbstractSevere COVID-19 illness is associated with intense inflammation, leading to high rates of thrombotic complications that increase morbidity and mortality. Markedly elevated levels of D-dimer with normal fibrinogen levels are the hallmark laboratory findings of severe COVID-19- associated coagulopathy. Prophylaxis against venous thromboembolism is paramount for all hospitalized patients, with more aggressive prophylaxis and screening recommended for patients with D-dimer levels above 3.0 μg/mL. Point-of-care ultrasonography is the imaging method of choice for patients at high risk, as it entails minimal risk of exposing providers to the virus.Copyright © 2020 The Cleveland Clinic Foundation. All Rights Reserved.
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