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.
引用
收藏
页数:10
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