Vnitr Lek 2020, 66(7):402-408 | DOI: 10.36290/vnl.2020.118

Coagulopathy associated with COVID-19

Simona Bílková, Jana Hirmerová
II. interní klinika LF UK a FN Plzeň

Infection with a new type of coronavirus surprised with the diversity of its clinical symptoms. The disease may be asymptomatic, with only mild symptoms in the form of olfactory loss, general weakness or flu-like symptoms. However, in some patients, COVID-19 infection can be severe, with hypercoagulation being a common finding, with vascular endothelial damage and the consequent risk of venous and arterial thrombotic complications. Coa-gulopathy subsequently significantly worsens the prognosis of patients and increases overall mortality. Recently, a new term has been introduced to indicate the presence of activated hemostasis in SARS-CoV-2 infection - coagulopathy associated with COVID-19 (CAC). The current global pandemic of COVID-19 has triggered intensive research on the disease, which has clarified a number of findings about the infection, but we still have many unanswered questions, especially regarding possible treatment.

Keywords: Covid-19, D‑dimers, heparine, immuno‑trombosis, coagulopathy.

Published: November 3, 2020  Show citation

ACS AIP APA ASA Harvard Chicago Chicago Notes IEEE ISO690 MLA NLM Turabian Vancouver
Bílková S, Hirmerová J. Coagulopathy associated with COVID-19. Vnitr Lek. 2020;66(7):402-408. doi: 10.36290/vnl.2020.118.
Download citation

References

  1. Karetová D, Bultas J. Koagulopatie provázející těžší formy koronavirové infekce (COVID-19) - incidence trombotických komplikací, jak jim předcházet a jak je léčit. Cor Vasa.
  2. Cui S, Chen S, Li X, Liu S, Wang F. Prevalence of venous thromboembolism in patients with severe novel coronavirus pneumonia. J Thromb Haemost. 2020; 18(6): 1421-1424. Go to original source... Go to PubMed...
  3. Klok FA, Kruip MJHA, van der Meer NJM, et al. Incidence of thrombotic complications in critically ill ICU patients with COVID-19. Thromb Res. 2020; 191: 145-147. Go to original source... Go to PubMed...
  4. Klok FA, Kruip MJHA, van der Meer NJM, et al. Confirmation of the high cumulative incidence of thrombotic complications in critically ill ICU patients with COVID-19: An updated analysis. Thromb Res. 2020; 191: 148-150. Go to original source... Go to PubMed...
  5. Levolger S, Bokkers RPH, Wille J, Kropman RHJ, de Vries JPPM. Arterial thrombotic complications in COVID-19 patients [published online ahead of print, 2020 Jul 17]. J Vasc Surg Cases Innov Tech. 2020;doi:10.1016/j.jvscit.2020. 06. 012 Go to original source...
  6. Zhang Y, Xiao M, Zhang S, et al. Coagulopathy and Antiphospholipid Antibodies in Patients with Covid-19. N Engl J Med. 2020; 382(17): e38. Go to original source... Go to PubMed...
  7. Spyropoulos AC, Levy JH, Ageno W, et al. Scientific and Standardization Committee Communication: Clinical Guidance on the Diagnosis, Prevention and Treatment of Venous Thromboembolism in Hospitalized Patients with COVID-19 [published online ahead of print, 2020 May 27]. J Thromb Haemost. 2020;10.1111/jth.14929. doi:10.1111/jth.14929 Go to original source... Go to PubMed...
  8. Tang N, Li D, Wang X, Sun Z. Abnormal coagulation parameters are associated with poor prognosis in patients with novel coronavirus pneumonia. J Thromb Haemost. 2020; 18(4): 844-847. Go to original source... Go to PubMed...
  9. Iba T, Levy JH, Warkentin TE, et al. Diagnosis and management of sepsis‑induced coagulopathy and disseminated intravascular coagulation. J Thromb Haemost. 2019; 17(11): 1989-1994. Go to original source... Go to PubMed...
  10. Ackermann M, Verleden SE, Kuehnel M, et al. Pulmonary Vascular Endothelialitis, Thrombosis, and Angiogenesis in Covid-19 [published online ahead of print, 2020 May 21]. N Engl J Med. 2020;10.1056/NEJMoa2015432. doi:10.1056/NEJMoa2015432. Go to original source... Go to PubMed...
  11. Liu Y, Sun W, Guo Y, et al. Association between platelet parameters and mortality in coronavirus disease 2019: Retrospective cohort study. Platelets. 2020; 31(4): 490-496. doi:10.1080/09537104.2020.1754383. Go to original source... Go to PubMed...
  12. Lippi G, Plebani M, Henry BM. Thrombocytopenia is associated with severe coronavirus disease 2019 (COVID-19) infections: A meta‑analysis. Clin Chim Acta. 2020; 506: 145-148. doi:10.1016/j.cca 2020. 03. 022 Go to original source...
  13. Zhang L, Yan X, Fan Q, et al. D‑dimer levels on admission to predict in‑hospital mortality in patients with Covid-19. J Thromb Haemost. 2020; 18(6): 1324-1329. doi:10.1111/jth.14859. Go to original source... Go to PubMed...
  14. Thachil J, Tang N, Gando S, et al. ISTH interim guidance on recognition and management of coagulopathy in COVID-19. J Thromb Haemost. 2020; 18(5): 1023-1026. Go to original source... Go to PubMed...
  15. Tang N, Bai H, Chen X, Gong J, Li D, Sun Z. Anticoagulant treatment is associated with decreased mortality in severe coronavirus disease 2019 patients with coagulopathy. J Thromb Haemost. 2020; 18(5): 1094-1099. doi:10.1111/jth.14817. Go to original source... Go to PubMed...
  16. Thachil J. The versatile heparin in COVID-19. J Thromb Haemost.2020;18(5):1020-1022. doi:10.1111/jth.14821. Go to original source... Go to PubMed...
  17. Moores LK, Tritschler T, Brosnahan S, Carrier M, Collen JF, Doerschug K, Holley AB, Jimenez D, Le Gal G, Rali P, Wells P. Prevention, Diagnosis, and Treatment of VTE in Patients With Coronavirus Disease 2019: CHEST Guideline and Expert Panel Report. Chest. 2020 Sep; 158(3): 1143-1163. doi: 10.1016/j.chest.2020. 05. 559. Epub 2020 Jun 2. PMID: 32502594; PMCID: PMC7265858. Go to original source... Go to PubMed...
  18. Marchandot B, Sattler L, Jesel L, et al. COVID-19 Related Coagulopathy: A Distinct.
  19. Entity?. J Clin Med. 2020; 9(6): 1651. Published 2020 May 31. doi:10.3390/jcm9061651. Go to original source... Go to PubMed...
  20. Chen LYC, Hoiland RL, Stukas S, Wellington CL, Sekhon MS. Confronting the controversy: Interleukin-6 and the COVID-19 cytokine storm syndrome. Eur Respir J. 2020 Sep 3:2003006. doi: 10.1183/13993003.03006-2020. Epub ahead of print. PMID: 32883678; PMCID: PMC7474149. Go to original source... Go to PubMed...




Vnitřní lékařství

Madam, Sir,
please be aware that the website on which you intend to enter, not the general public because it contains technical information about medicines, including advertisements relating to medicinal products. This information and communication professionals are solely under §2 of the Act n.40/1995 Coll. Is active persons authorized to prescribe or supply (hereinafter expert).
Take note that if you are not an expert, you run the risk of danger to their health or the health of other persons, if you the obtained information improperly understood or interpreted, and especially advertising which may be part of this site, or whether you used it for self-diagnosis or medical treatment, whether in relation to each other in person or in relation to others.

I declare:

  1. that I have met the above instruction
  2. I'm an expert within the meaning of the Act n.40/1995 Coll. the regulation of advertising, as amended, and I am aware of the risks that would be a person other than the expert input to these sites exhibited


No

Yes

If your statement is not true, please be aware
that brings the risk of danger to their health or the health of others.