[Progression of dyspnea in COVID-19 patients: now what?]
Identifieur interne : 000048 ( Main/Exploration ); précédent : 000047; suivant : 000049[Progression of dyspnea in COVID-19 patients: now what?]
Auteurs : Duco D. Deenstra ; Marten R. Nijziel ; Arnoud F. Aldenkamp ; Roland H H. Van Balkom ; Frank W J M. SmeenkSource :
- Nederlands tijdschrift voor geneeskunde [ 1876-8784 ] ; 2020.
Descripteurs français
- KwdFr :
- Adulte (MeSH), Adulte d'âge moyen (MeSH), Anticoagulants (usage thérapeutique), Betacoronavirus (MeSH), Dyspnée (physiopathologie), Dyspnée (étiologie), Facteurs de risque (MeSH), Femelle (MeSH), Humains (MeSH), Infections à coronavirus (complications), Infections à coronavirus (physiopathologie), Mâle (MeSH), Pandémies (MeSH), Pneumopathie virale (complications), Pneumopathie virale (physiopathologie), Sujet âgé (MeSH), Thromboembolisme veineux (physiopathologie), Thromboembolisme veineux (étiologie), Évolution de la maladie (MeSH).
- MESH :
- physiopathologie : Dyspnée, Infections à coronavirus, Pneumopathie virale, Thromboembolisme veineux.
- usage thérapeutique : Anticoagulants, Infections à coronavirus, Pneumopathie virale.
- étiologie : Dyspnée, Thromboembolisme veineux.
- Adulte, Adulte d'âge moyen, Betacoronavirus, Facteurs de risque, Femelle, Humains, Mâle, Pandémies, Sujet âgé, Évolution de la maladie.
English descriptors
- KwdEn :
- Adult (MeSH), Aged (MeSH), Anticoagulants (therapeutic use), Betacoronavirus (MeSH), Coronavirus Infections (complications), Coronavirus Infections (physiopathology), Disease Progression (MeSH), Dyspnea (etiology), Dyspnea (physiopathology), Female (MeSH), Humans (MeSH), Male (MeSH), Middle Aged (MeSH), Pandemics (MeSH), Pneumonia, Viral (complications), Pneumonia, Viral (physiopathology), Risk Factors (MeSH), Venous Thromboembolism (etiology), Venous Thromboembolism (physiopathology).
- MESH :
- chemical , therapeutic use : Anticoagulants.
- complications : Coronavirus Infections, Pneumonia, Viral.
- etiology : Dyspnea, Venous Thromboembolism.
- physiopathology : Coronavirus Infections, Dyspnea, Pneumonia, Viral, Venous Thromboembolism.
- Adult, Aged, Betacoronavirus, Disease Progression, Female, Humans, Male, Middle Aged, Pandemics, Risk Factors.
Abstract
Venous thromboembolism (VTE) seems to be an underdiagnosed complication in COVID-19 patients. We present three male patients, aged 67, 29 and 71 years, who were admitted to the hospital with COVID-19. They all showed deterioration in the course of their disease caused by VTE. In our hospital, VTE was diagnosed in 10% of COVID-19 patients admitted to the general ward (non-ICU patients) despite regular thromboprophylaxis. Deterioration in the course of COVID-19 has differential diagnoses such as progression of the infection itself, secondary bacterial pneumonia, left heart failure and in our experience not infrequently VTE. We therefore recommend to consider VTE in COVID-19 patients with a sudden clinical deterioration such as hypotension, tachycardia, unexplained hypoxaemia or insufficient clinical improvement and to perform CT-angiography if indicated. A high dose of thromboprophylaxis in COVID-19 patients may be considered because of increased coagulation activation.
PubMed: 32779934
Affiliations:
Links toward previous steps (curation, corpus...)
Le document en format XML
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Longgeneeskunde, Eindhoven.</nlm:affiliation><wicri:noCountry code="subField">Eindhoven</wicri:noCountry></affiliation></author><author><name sortKey="Nijziel, Marten R" sort="Nijziel, Marten R" uniqKey="Nijziel M" first="Marten R" last="Nijziel">Marten R. Nijziel</name><affiliation><nlm:affiliation>Catharina Ziekenhuis, afd. Hematologie, Eindhoven.</nlm:affiliation><wicri:noCountry code="subField">Eindhoven</wicri:noCountry></affiliation></author><author><name sortKey="Aldenkamp, Arnoud F" sort="Aldenkamp, Arnoud F" uniqKey="Aldenkamp A" first="Arnoud F" last="Aldenkamp">Arnoud F. Aldenkamp</name><affiliation><nlm:affiliation>Catharina Ziekenhuis, afd. Longgeneeskunde, Eindhoven.</nlm:affiliation><wicri:noCountry code="subField">Eindhoven</wicri:noCountry></affiliation></author><author><name sortKey="Van Balkom, Roland H H" sort="Van Balkom, Roland H H" uniqKey="Van Balkom R" first="Roland H H" last="Van Balkom">Roland H H. Van Balkom</name><affiliation><nlm:affiliation>Catharina Ziekenhuis, afd. Longgeneeskunde, Eindhoven.</nlm:affiliation><wicri:noCountry code="subField">Eindhoven</wicri:noCountry></affiliation></author><author><name sortKey="Smeenk, Frank W J M" sort="Smeenk, Frank W J M" uniqKey="Smeenk F" first="Frank W J M" last="Smeenk">Frank W J M. Smeenk</name><affiliation><nlm:affiliation>Catharina Ziekenhuis, afd. Longgeneeskunde, Eindhoven.</nlm:affiliation><wicri:noCountry code="subField">Eindhoven</wicri:noCountry></affiliation></author></analytic><series><title level="j">Nederlands tijdschrift voor geneeskunde</title><idno type="eISSN">1876-8784</idno><imprint><date when="2020" type="published">2020</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Adult (MeSH)</term><term>Aged (MeSH)</term><term>Anticoagulants (therapeutic use)</term><term>Betacoronavirus (MeSH)</term><term>Coronavirus Infections (complications)</term><term>Coronavirus Infections (physiopathology)</term><term>Disease Progression (MeSH)</term><term>Dyspnea (etiology)</term><term>Dyspnea (physiopathology)</term><term>Female (MeSH)</term><term>Humans (MeSH)</term><term>Male (MeSH)</term><term>Middle Aged (MeSH)</term><term>Pandemics (MeSH)</term><term>Pneumonia, Viral (complications)</term><term>Pneumonia, Viral (physiopathology)</term><term>Risk Factors (MeSH)</term><term>Venous Thromboembolism (etiology)</term><term>Venous Thromboembolism (physiopathology)</term></keywords><keywords scheme="KwdFr" xml:lang="fr"><term>Adulte (MeSH)</term><term>Adulte d'âge moyen (MeSH)</term><term>Anticoagulants (usage thérapeutique)</term><term>Betacoronavirus (MeSH)</term><term>Dyspnée (physiopathologie)</term><term>Dyspnée (étiologie)</term><term>Facteurs de risque (MeSH)</term><term>Femelle (MeSH)</term><term>Humains (MeSH)</term><term>Infections à coronavirus (complications)</term><term>Infections à coronavirus (physiopathologie)</term><term>Mâle (MeSH)</term><term>Pandémies (MeSH)</term><term>Pneumopathie virale (complications)</term><term>Pneumopathie virale (physiopathologie)</term><term>Sujet âgé (MeSH)</term><term>Thromboembolisme veineux (physiopathologie)</term><term>Thromboembolisme veineux (étiologie)</term><term>Évolution de la maladie (MeSH)</term></keywords><keywords scheme="MESH" type="chemical" qualifier="therapeutic use" xml:lang="en"><term>Anticoagulants</term></keywords><keywords scheme="MESH" qualifier="complications" xml:lang="en"><term>Coronavirus Infections</term><term>Pneumonia, Viral</term></keywords><keywords scheme="MESH" qualifier="etiology" xml:lang="en"><term>Dyspnea</term><term>Venous Thromboembolism</term></keywords><keywords scheme="MESH" qualifier="physiopathologie" xml:lang="fr"><term>Dyspnée</term><term>Infections à coronavirus</term><term>Pneumopathie virale</term><term>Thromboembolisme veineux</term></keywords><keywords scheme="MESH" qualifier="physiopathology" xml:lang="en"><term>Coronavirus Infections</term><term>Dyspnea</term><term>Pneumonia, Viral</term><term>Venous Thromboembolism</term></keywords><keywords scheme="MESH" qualifier="usage thérapeutique" xml:lang="fr"><term>Anticoagulants</term><term>Infections à coronavirus</term><term>Pneumopathie virale</term></keywords><keywords scheme="MESH" qualifier="étiologie" xml:lang="fr"><term>Dyspnée</term><term>Thromboembolisme veineux</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Adult</term><term>Aged</term><term>Betacoronavirus</term><term>Disease Progression</term><term>Female</term><term>Humans</term><term>Male</term><term>Middle Aged</term><term>Pandemics</term><term>Risk Factors</term></keywords><keywords scheme="MESH" xml:lang="fr"><term>Adulte</term><term>Adulte d'âge moyen</term><term>Betacoronavirus</term><term>Facteurs de risque</term><term>Femelle</term><term>Humains</term><term>Mâle</term><term>Pandémies</term><term>Sujet âgé</term><term>Évolution de la maladie</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">Venous thromboembolism (VTE) seems to be an underdiagnosed complication in COVID-19 patients. We present three male patients, aged 67, 29 and 71 years, who were admitted to the hospital with COVID-19. They all showed deterioration in the course of their disease caused by VTE. In our hospital, VTE was diagnosed in 10% of COVID-19 patients admitted to the general ward (non-ICU patients) despite regular thromboprophylaxis. Deterioration in the course of COVID-19 has differential diagnoses such as progression of the infection itself, secondary bacterial pneumonia, left heart failure and in our experience not infrequently VTE. We therefore recommend to consider VTE in COVID-19 patients with a sudden clinical deterioration such as hypotension, tachycardia, unexplained hypoxaemia or insufficient clinical improvement and to perform CT-angiography if indicated. A high dose of thromboprophylaxis in COVID-19 patients may be considered because of increased coagulation activation.</div></front></TEI><pubmed><MedlineCitation Status="MEDLINE" IndexingMethod="Curated" Owner="NLM"><PMID Version="1">32779934</PMID><DateCompleted><Year>2020</Year><Month>08</Month><Day>25</Day></DateCompleted><DateRevised><Year>2020</Year><Month>08</Month><Day>25</Day></DateRevised><Article PubModel="Electronic"><Journal><ISSN IssnType="Electronic">1876-8784</ISSN><JournalIssue CitedMedium="Internet"><Volume>164</Volume><PubDate><Year>2020</Year><Month>07</Month><Day>02</Day></PubDate></JournalIssue><Title>Nederlands tijdschrift voor geneeskunde</Title><ISOAbbreviation>Ned Tijdschr Geneeskd</ISOAbbreviation></Journal><ArticleTitle>[Progression of dyspnea in COVID-19 patients: now what?]</ArticleTitle><ELocationID EIdType="pii" ValidYN="Y">D5116</ELocationID><Abstract><AbstractText>Venous thromboembolism (VTE) seems to be an underdiagnosed complication in COVID-19 patients. We present three male patients, aged 67, 29 and 71 years, who were admitted to the hospital with COVID-19. They all showed deterioration in the course of their disease caused by VTE. In our hospital, VTE was diagnosed in 10% of COVID-19 patients admitted to the general ward (non-ICU patients) despite regular thromboprophylaxis. Deterioration in the course of COVID-19 has differential diagnoses such as progression of the infection itself, secondary bacterial pneumonia, left heart failure and in our experience not infrequently VTE. We therefore recommend to consider VTE in COVID-19 patients with a sudden clinical deterioration such as hypotension, tachycardia, unexplained hypoxaemia or insufficient clinical improvement and to perform CT-angiography if indicated. A high dose of thromboprophylaxis in COVID-19 patients may be considered because of increased coagulation activation.</AbstractText></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Deenstra</LastName><ForeName>Duco D</ForeName><Initials>DD</Initials><AffiliationInfo><Affiliation>Catharina Ziekenhuis, afd. Longgeneeskunde, Eindhoven.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Nijziel</LastName><ForeName>Marten R</ForeName><Initials>MR</Initials><AffiliationInfo><Affiliation>Catharina Ziekenhuis, afd. Hematologie, Eindhoven.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Aldenkamp</LastName><ForeName>Arnoud F</ForeName><Initials>AF</Initials><AffiliationInfo><Affiliation>Catharina Ziekenhuis, afd. Longgeneeskunde, Eindhoven.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>van Balkom</LastName><ForeName>Roland H H</ForeName><Initials>RHH</Initials><AffiliationInfo><Affiliation>Catharina Ziekenhuis, afd. Longgeneeskunde, Eindhoven.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Smeenk</LastName><ForeName>Frank W J M</ForeName><Initials>FWJM</Initials><AffiliationInfo><Affiliation>Catharina Ziekenhuis, afd. Longgeneeskunde, Eindhoven.</Affiliation></AffiliationInfo></Author></AuthorList><Language>dut</Language><PublicationTypeList><PublicationType UI="D002363">Case Reports</PublicationType><PublicationType UI="D016428">Journal Article</PublicationType></PublicationTypeList><VernacularTitle>Toename van dyspneu bij covid-19-patiënten.</VernacularTitle><ArticleDate DateType="Electronic"><Year>2020</Year><Month>07</Month><Day>02</Day></ArticleDate></Article><MedlineJournalInfo><Country>Netherlands</Country><MedlineTA>Ned Tijdschr Geneeskd</MedlineTA><NlmUniqueID>0400770</NlmUniqueID><ISSNLinking>0028-2162</ISSNLinking></MedlineJournalInfo><ChemicalList><Chemical><RegistryNumber>0</RegistryNumber><NameOfSubstance UI="D000925">Anticoagulants</NameOfSubstance></Chemical></ChemicalList><SupplMeshList><SupplMeshName Type="Disease" UI="C000657245">COVID-19</SupplMeshName><SupplMeshName Type="Organism" UI="C000656484">severe acute respiratory syndrome coronavirus 2</SupplMeshName></SupplMeshList><CitationSubset>IM</CitationSubset><MeshHeadingList><MeshHeading><DescriptorName UI="D000328" MajorTopicYN="N">Adult</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D000368" MajorTopicYN="N">Aged</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D000925" MajorTopicYN="N">Anticoagulants</DescriptorName><QualifierName UI="Q000627" MajorTopicYN="N">therapeutic use</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D000073640" MajorTopicYN="Y">Betacoronavirus</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D018352" MajorTopicYN="N">Coronavirus Infections</DescriptorName><QualifierName UI="Q000150" MajorTopicYN="N">complications</QualifierName><QualifierName UI="Q000503" MajorTopicYN="Y">physiopathology</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D018450" MajorTopicYN="N">Disease Progression</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D004417" MajorTopicYN="N">Dyspnea</DescriptorName><QualifierName UI="Q000209" MajorTopicYN="N">etiology</QualifierName><QualifierName UI="Q000503" MajorTopicYN="Y">physiopathology</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D005260" MajorTopicYN="N">Female</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D006801" MajorTopicYN="N">Humans</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D008297" MajorTopicYN="N">Male</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D008875" MajorTopicYN="N">Middle Aged</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D058873" MajorTopicYN="N">Pandemics</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D011024" MajorTopicYN="N">Pneumonia, Viral</DescriptorName><QualifierName UI="Q000150" MajorTopicYN="N">complications</QualifierName><QualifierName UI="Q000503" MajorTopicYN="Y">physiopathology</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D012307" MajorTopicYN="N">Risk Factors</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D054556" MajorTopicYN="N">Venous Thromboembolism</DescriptorName><QualifierName UI="Q000209" MajorTopicYN="N">etiology</QualifierName><QualifierName UI="Q000503" MajorTopicYN="Y">physiopathology</QualifierName></MeshHeading></MeshHeadingList></MedlineCitation><PubmedData><History><PubMedPubDate PubStatus="entrez"><Year>2020</Year><Month>8</Month><Day>12</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="pubmed"><Year>2020</Year><Month>8</Month><Day>12</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="medline"><Year>2020</Year><Month>8</Month><Day>26</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate></History><PublicationStatus>epublish</PublicationStatus><ArticleIdList><ArticleId IdType="pubmed">32779934</ArticleId></ArticleIdList></PubmedData></pubmed><affiliations><list></list><tree><noCountry><name sortKey="Aldenkamp, Arnoud F" sort="Aldenkamp, Arnoud F" uniqKey="Aldenkamp A" first="Arnoud F" last="Aldenkamp">Arnoud F. Aldenkamp</name><name sortKey="Deenstra, Duco D" sort="Deenstra, Duco D" uniqKey="Deenstra D" first="Duco D" last="Deenstra">Duco D. Deenstra</name><name sortKey="Nijziel, Marten R" sort="Nijziel, Marten R" uniqKey="Nijziel M" first="Marten R" last="Nijziel">Marten R. Nijziel</name><name sortKey="Smeenk, Frank W J M" sort="Smeenk, Frank W J M" uniqKey="Smeenk F" first="Frank W J M" last="Smeenk">Frank W J M. Smeenk</name><name sortKey="Van Balkom, Roland H H" sort="Van Balkom, Roland H H" uniqKey="Van Balkom R" first="Roland H H" last="Van Balkom">Roland H H. Van Balkom</name></noCountry></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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