PE was observed even after recovery from acute Covid-19. Four patients were admitted after discharge, having recovered from Covid-19 pneumonia, all were SARS-CoV-2 positive at first review and negative at the time of PE diagnosis on their second admission (Table (Table1).1). Their characteristics are described in Table Table11.

Characteristics of Covid-19 patients who were admitted with pulmonary embolism, post recovery from Covid-19

CTPA computed tomography pulmonary angiogram; D-day, D/C discharged, ED emengency department, RV/LV ratio diameter of right ventricle divided by diameter of left ventricle measured at their wides midventricular point on axial images, LMWH low molecular weight heparin, PE pulmonary embolism, UACTD ultrasound assisted catheter directed thrombolysis, VTE venous thromboembolism

PE was of intermediate-low early mortality risk in patient 1 and patient 3. Patient 2, with an intermediate-high early mortality risk PE, was treated with UACTD and was discharged 15 days after her admission. Patient 4, with a high early mortality risk PE, was treated with systemic thrombolysis and required intubation and inotropic support.

Failure to mobilize post discharge was the most likely explanation for PE, after acute Covid-19 recovery. However, this may be in fact no different to other medical patients who have recently been in hospital.

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