Thrombotic risk in patients with COVID-19

被引:8
作者
Pancaldi, Edoardo [1 ]
Pascariello, Greta [1 ]
Cimino, Giuliana [1 ]
Cersosimo, Angelica [1 ]
Amore, Ludovica [1 ]
Alghisi, Fabio [1 ]
Bernardi, Nicola [1 ]
Calvi, Emiliano [1 ]
Lombardi, Carlo Mario [1 ]
Vizzardi, Enrico [1 ]
Metra, Marco [1 ]
机构
[1] Univ Brescia, Dept Med & Surg Special Radiol Sci & Publ Hlth, Cardiol Unit, I-23123 Brescia, Italy
关键词
Thrombosis; COVID-19; Pulmonary embolism; Endothelitis; Coagulopathy; VENOUS THROMBOEMBOLISM; PULMONARY-EMBOLISM; MORTALITY; DISEASE; COMPLICATIONS; METAANALYSIS; PNEUMONIA; PLATELETS; TRAPS;
D O I
10.31083/j.rcm2202035
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Emerging evidences prove that the ongoing pandemic of coronavirus disease 2019 (COVID-19) is strictly linked to coagulopathy even if pneumonia appears as the major clinical manifestation. The exact incidence of thromboembolic events is largely unknown, so that a relative significant number of studies have been performed in order to explore thrombotic risk in COVID-19 patients. Cytokine storm, mediated by pro-inflammatory interleukins, tumor necrosis factor alpha and elevated acute phase reactants, is primarily responsible for COVID-19-associated hypercoagulopathy. Also comorbidities, promoting endothelial dysfunction, contribute to a higher thromboembolic risk. In this review we aim to investigate epidemiology and clarify the pathophysiological pathways underlying hypercoagulability in COVID-19 patients, providing indications on the prevention of thromboembolic events in COVID-19. Furthermore we aim to reassume the pathophysiological paths involved in COVID-19 infection.
引用
收藏
页码:277 / 286
页数:10
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