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To the Editor:The recent report by Quiroz et al1 that detection of right ventricular (RV) enlargement on chest computed tomography helped identify patients with acute pulmonary embolism (PE) for adverse clinical events has important prognostic and therapeutic implications, but the authors did not offer an explanation.Besides such obvious consequences of RV enlargement …

Role of Paradoxic Embolism in Patients With Acute Pulmonary Embolism and Right Ventricular Enlargement Who Are at Risk for Adverse Clinical Events