Hypercoagulation and Antithrombotic Treatment in Coronavirus 2019: A New Challenge

Abstract The novel coronavirus 2019 (COVID-19) is clinically characterized by severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), which is responsible for a high number of patients needing mechanical ventilation or intensive care units treatment and for the elevated mortality risk. A link...

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Published in:Thrombosis and haemostasis Vol. 120; no. 6; pp. 949 - 956
Main Authors: Violi, Francesco, Pastori, Daniele, Cangemi, Roberto, Pignatelli, Pasquale, Loffredo, Lorenzo
Format: Journal Article
Language:English
Published: Stuttgart · New York Georg Thieme Verlag KG 01.06.2020
Subjects:
Algorithms
Betacoronavirus
Cardiology
Coronavirus Infections - blood
Coronavirus Infections - complications
COVID-19
Fibrin Fibrinogen Degradation Products - analysis
Fibrinolytic Agents - therapeutic use
Humans
Liver Failure - therapy
Pandemics
Partial Thromboplastin Time
Platelet Count
Pneumonia, Viral - blood
Pneumonia, Viral - complications
Prothrombin Time
Review Article
Risk
SARS-CoV-2
Thrombophilia - prevention & control
Thrombophilia - therapy
Thrombosis - prevention & control
Thrombosis - therapy
Treatment Outcome
hypercoagulability
thrombosis
infectious diseases
ISSN:0340-6245, 2567-689X, 2567-689X
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Abstract Abstract The novel coronavirus 2019 (COVID-19) is clinically characterized by severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), which is responsible for a high number of patients needing mechanical ventilation or intensive care units treatment and for the elevated mortality risk. A link between COVID-19 and multiorgan failure may be dependent on the fact that most COVID-19 patients are complicated by pneumonia, which is known to be associated with early changes of clotting and platelet activation and artery dysfunction; these changes may implicate in thrombotic-related events such as myocardial infarction and ischemic stroke. Recent data showed that myocardial injury compatible with coronary ischemia may be detectable in SARS-CoV-2 patients and laboratory data exploring clotting system suggest the presence of a hypercoagulation state. Thus, we performed a systematic review of COVID-19 literature reporting measures of clotting activation to assess if changes are detectable in this setting and their relationship with clinical severity. Furthermore, we discussed the biologic plausibility of the thrombotic risk in SARS-CoV-2 and the potential use of an antithrombotic treatment.
AbstractList The novel coronavirus 2019 (COVID-19) is clinically characterized by severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), which is responsible for a high number of patients needing mechanical ventilation or intensive care units treatment and for the elevated mortality risk. A link between COVID-19 and multiorgan failure may be dependent on the fact that most COVID-19 patients are complicated by pneumonia, which is known to be associated with early changes of clotting and platelet activation and artery dysfunction; these changes may implicate in thrombotic-related events such as myocardial infarction and ischemic stroke. Recent data showed that myocardial injury compatible with coronary ischemia may be detectable in SARS-CoV-2 patients and laboratory data exploring clotting system suggest the presence of a hypercoagulation state. Thus, we performed a systematic review of COVID-19 literature reporting measures of clotting activation to assess if changes are detectable in this setting and their relationship with clinical severity. Furthermore, we discussed the biologic plausibility of the thrombotic risk in SARS-CoV-2 and the potential use of an antithrombotic treatment.
Abstract The novel coronavirus 2019 (COVID-19) is clinically characterized by severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), which is responsible for a high number of patients needing mechanical ventilation or intensive care units treatment and for the elevated mortality risk. A link between COVID-19 and multiorgan failure may be dependent on the fact that most COVID-19 patients are complicated by pneumonia, which is known to be associated with early changes of clotting and platelet activation and artery dysfunction; these changes may implicate in thrombotic-related events such as myocardial infarction and ischemic stroke. Recent data showed that myocardial injury compatible with coronary ischemia may be detectable in SARS-CoV-2 patients and laboratory data exploring clotting system suggest the presence of a hypercoagulation state. Thus, we performed a systematic review of COVID-19 literature reporting measures of clotting activation to assess if changes are detectable in this setting and their relationship with clinical severity. Furthermore, we discussed the biologic plausibility of the thrombotic risk in SARS-CoV-2 and the potential use of an antithrombotic treatment.
The novel coronavirus 2019 (COVID-19) is clinically characterized by severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), which is responsible for a high number of patients needing mechanical ventilation or intensive care units treatment and for the elevated mortality risk. A link between COVID-19 and multiorgan failure may be dependent on the fact that most COVID-19 patients are complicated by pneumonia, which is known to be associated with early changes of clotting and platelet activation and artery dysfunction; these changes may implicate in thrombotic-related events such as myocardial infarction and ischemic stroke. Recent data showed that myocardial injury compatible with coronary ischemia may be detectable in SARS-CoV-2 patients and laboratory data exploring clotting system suggest the presence of a hypercoagulation state. Thus, we performed a systematic review of COVID-19 literature reporting measures of clotting activation to assess if changes are detectable in this setting and their relationship with clinical severity. Furthermore, we discussed the biologic plausibility of the thrombotic risk in SARS-CoV-2 and the potential use of an antithrombotic treatment.The novel coronavirus 2019 (COVID-19) is clinically characterized by severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), which is responsible for a high number of patients needing mechanical ventilation or intensive care units treatment and for the elevated mortality risk. A link between COVID-19 and multiorgan failure may be dependent on the fact that most COVID-19 patients are complicated by pneumonia, which is known to be associated with early changes of clotting and platelet activation and artery dysfunction; these changes may implicate in thrombotic-related events such as myocardial infarction and ischemic stroke. Recent data showed that myocardial injury compatible with coronary ischemia may be detectable in SARS-CoV-2 patients and laboratory data exploring clotting system suggest the presence of a hypercoagulation state. Thus, we performed a systematic review of COVID-19 literature reporting measures of clotting activation to assess if changes are detectable in this setting and their relationship with clinical severity. Furthermore, we discussed the biologic plausibility of the thrombotic risk in SARS-CoV-2 and the potential use of an antithrombotic treatment.
Author Pastori, Daniele
Violi, Francesco
Cangemi, Roberto
Pignatelli, Pasquale
Loffredo, Lorenzo
Author_xml – sequence: 1
  givenname: Francesco
  surname: Violi
  fullname: Violi, Francesco
  email: francesco.violi@uniroma1.it
  organization: I Clinica Medica, Sapienza University of Rome
– sequence: 2
  givenname: Daniele
  surname: Pastori
  fullname: Pastori, Daniele
  organization: Department of Clinical, Internal Medicine, Anesthesiologic and Cardiovascular Sciences, Sapienza University of Rome, Italy
– sequence: 3
  givenname: Roberto
  surname: Cangemi
  fullname: Cangemi, Roberto
  organization: Department of Translational and Precision Medicine, Sapienza University of Rome, Italy
– sequence: 4
  givenname: Pasquale
  surname: Pignatelli
  fullname: Pignatelli, Pasquale
  organization: Department of Clinical, Internal Medicine, Anesthesiologic and Cardiovascular Sciences, Sapienza University of Rome, Italy
– sequence: 5
  givenname: Lorenzo
  orcidid: 0000-0002-6542-6235
  surname: Loffredo
  fullname: Loffredo, Lorenzo
  organization: Department of Clinical, Internal Medicine, Anesthesiologic and Cardiovascular Sciences, Sapienza University of Rome, Italy
BackLink https://www.ncbi.nlm.nih.gov/pubmed/32349133$$D View this record in MEDLINE/PubMed
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Snippet Abstract The novel coronavirus 2019 (COVID-19) is clinically characterized by severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), which is...
The novel coronavirus 2019 (COVID-19) is clinically characterized by severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), which is responsible for a...
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SubjectTerms Algorithms
Betacoronavirus
Cardiology
Coronavirus Infections - blood
Coronavirus Infections - complications
COVID-19
Fibrin Fibrinogen Degradation Products - analysis
Fibrinolytic Agents - therapeutic use
Humans
Liver Failure - therapy
Pandemics
Partial Thromboplastin Time
Platelet Count
Pneumonia, Viral - blood
Pneumonia, Viral - complications
Prothrombin Time
Review Article
Risk
SARS-CoV-2
Thrombophilia - prevention & control
Thrombophilia - therapy
Thrombosis - prevention & control
Thrombosis - therapy
Treatment Outcome
Title Hypercoagulation and Antithrombotic Treatment in Coronavirus 2019: A New Challenge
URI http://dx.doi.org/10.1055/s-0040-1710317
https://www.ncbi.nlm.nih.gov/pubmed/32349133
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