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                <text>Dominio científico: Coronavirus</text>
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              <text>Recurrent chronic thromboembolic disease despite optimal anticoagulation in setting of recent COVID-19 infection.</text>
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              <text>Vittorio Romeo Terrigno, Daniel Anthony Ricketti, Pranav Patel, Satyajeet Roy</text>
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              <text>We present a case of a 38-year-old man with a history of chronic thromboembolic pulmonary hypertension on therapeutic anticoagulation and recent hospitalisation for COVID-19 disease who was hospitalised for recurrent acute pulmonary embolism despite therapeutic anticoagulation with warfarin (International Normalized Ratio (INR) of 3.0). Our case highlights the hypercoagulable state associated with COVID-19 disease and the absence of standardised approaches to anticoagulation treatment for this population.</text>
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              <text>infectious diseases, Pulmonary Embolism, venous thromboembolism, haematology (drugs and medicines)</text>
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              <text>10.1136/bcr-2020-238733</text>
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              <text>BMJ case reports</text>
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