Comprehensive management of acute pulmonary embolism in primary care using telemedicine in the COVID-era
| Autor: | David R. Vinson, Joshua Chang, Dayna J Isaacs, Joseph Leung |
|---|---|
| Rok vydání: | 2021 |
| Předmět: |
pulmonary embolism
Case Report 030204 cardiovascular system & hematology Chest pain family medicine 0302 clinical medicine Acute care Pandemic 030212 general & internal medicine health informatics Lung general practice Pain Research General Medicine Telemedicine Pulmonary embolism Female general practice / family medicine medicine.symptom Chronic Pain medicine.drug medicine.medical_specialty Coronavirus disease 2019 (COVID-19) venous thromboembolism Clinical Sciences Primary care 7.3 Management and decision making 03 medical and health sciences Rare Diseases Clinical Research medicine Humans Pandemics Rivaroxaban Primary Health Care business.industry SARS-CoV-2 COVID-19 medicine.disease Emergency medicine Management of diseases and conditions business |
| Zdroj: | BMJ case reports, vol 14, iss 6 BMJ Case Reports |
| Popis: | A healthy, active woman in her 70s reported intermittent exertional dyspnoea for 2 months, notable during frequent open-water swimming. Symptoms were similar to an episode of travel-provoked pulmonary embolism 3 years prior. She denied chest pain, cough, fever, extremity complaints and symptoms at rest. Due to the COVID-19 pandemic, her healthcare system was using secure telemedicine to evaluate non-critical complaints. During the initial video visit, she appeared well, conversing normally without laboured breathing. An elevated serum D-dimer prompted CT pulmonary angiography, which identified acute lobar pulmonary embolism. After haematology consultation and telephone conversation with the patient, her physician prescribed rivaroxaban. Her symptoms rapidly improved. She had an uneventful course and is continuing anticoagulation indefinitely. The pandemic has increased the application of telemedicine for acute care complaints. This case illustrates its safe and effective use for comprehensive management of acute pulmonary embolism in the primary care setting. |
| Databáze: | OpenAIRE |
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