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Thromboembolic disease in COVID-19 patients: A brief narrative review
被引:58
|作者:
Mondal, Samhati
[1
]
Quintili, Ashley L.
[2
]
Karamchandani, Kunal
[3
]
Bose, Somnath
[4
]
机构:
[1] Univ Maryland, Dept Anesthesiol, Sch Med, Baltimore, MD 21201 USA
[2] Penn State Hlth Milton S Hershey Med Ctr, Dept Pharm, Hershey, PA USA
[3] Penn State Hlth Milton S Hershey Med Ctr, Dept Anesthesiol & Perioperat Med, Hershey, PA USA
[4] Harvard Med Sch, Dept Anesthesiol Crit Care & Pain Med, Beth Israel Deaconess Med Ctr, One Deaconess Rd,Rosenberg 470, Boston, MA 02215 USA
关键词:
COVID-19;
thrombosis;
thromboembolism;
SARS-CoV2;
management;
coagulation;
DEEP-VEIN THROMBOSIS;
PULMONARY-EMBOLISM;
VENOUS THROMBOSIS;
COMPLICATIONS;
PNEUMONIA;
D O I:
10.1186/s40560-020-00483-y
中图分类号:
R4 [临床医学];
学科分类号:
1002 ;
100602 ;
摘要:
Corona virus 2 (SARS-CoV2/ Severe Acute Respiratory Syndrome Corona Virus 2) infection has emerged as a global health crisis. Incidence of thromboembolic disease is reported to be high in SARS-CoV2 disease and is seen in a multitude of organ systems ranging from cutaneous thrombosis to pulmonary embolism, stroke or coronary thrombosis sometimes with catastrophic outcomes. Evidence points towards a key role of thromboembolism, hypercoagulability and over production of proinflammatory cytokines mimicking a "cytokine storm" which leads to multiorgan failure. This brief narrative review highlights the pathophysiology and risk factors of thromboembolic disease and provides a framework for management of anticoagulation based on the current evidence.
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页数:10
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