Coagulation Status and Venous Thromboembolism Risk in African Americans: A Potential Risk Factor in COVID-19

Severe acute respiratory syndrome coronavirus 2 infection (COVID-19) is known to induce severe inflammation and activation of the coagulation system, resulting in a prothrombotic state. Although inflammatory conditions and organ-specific diseases have been shown to be strong determinants of morbidit...

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Vydáno v:Clinical and applied thrombosis/hemostasis Ročník 26; s. 1076029620943671
Hlavní autoři: Frydman, Galit H., Boyer, Edward W., Nazarian, Rosalynn M., Van Cott, Elizabeth M., Piazza, Gregory
Médium: Journal Article
Jazyk:angličtina
Vydáno: Los Angeles, CA SAGE Publications 2020
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ISSN:1076-0296, 1938-2723, 1938-2723
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Abstract Severe acute respiratory syndrome coronavirus 2 infection (COVID-19) is known to induce severe inflammation and activation of the coagulation system, resulting in a prothrombotic state. Although inflammatory conditions and organ-specific diseases have been shown to be strong determinants of morbidity and mortality in patients with COVID-19, it is unclear whether preexisting differences in coagulation impact the severity of COVID-19. African Americans have higher rates of COVID-19 infection and disease-related morbidity and mortality. Moreover, African Americans are known to be at a higher risk for thrombotic events due to both biological and socioeconomic factors. In this review, we explore whether differences in baseline coagulation status and medical management of coagulation play an important role in COVID-19 disease severity and contribute to racial disparity trends within COVID-19.
AbstractList Severe acute respiratory syndrome coronavirus 2 infection (COVID-19) is known to induce severe inflammation and activation of the coagulation system, resulting in a prothrombotic state. Although inflammatory conditions and organ-specific diseases have been shown to be strong determinants of morbidity and mortality in patients with COVID-19, it is unclear whether preexisting differences in coagulation impact the severity of COVID-19. African Americans have higher rates of COVID-19 infection and disease-related morbidity and mortality. Moreover, African Americans are known to be at a higher risk for thrombotic events due to both biological and socioeconomic factors. In this review, we explore whether differences in baseline coagulation status and medical management of coagulation play an important role in COVID-19 disease severity and contribute to racial disparity trends within COVID-19.
Severe acute respiratory syndrome coronavirus 2 infection (COVID-19) is known to induce severe inflammation and activation of the coagulation system, resulting in a prothrombotic state. Although inflammatory conditions and organ-specific diseases have been shown to be strong determinants of morbidity and mortality in patients with COVID-19, it is unclear whether preexisting differences in coagulation impact the severity of COVID-19. African Americans have higher rates of COVID-19 infection and disease-related morbidity and mortality. Moreover, African Americans are known to be at a higher risk for thrombotic events due to both biological and socioeconomic factors. In this review, we explore whether differences in baseline coagulation status and medical management of coagulation play an important role in COVID-19 disease severity and contribute to racial disparity trends within COVID-19.Severe acute respiratory syndrome coronavirus 2 infection (COVID-19) is known to induce severe inflammation and activation of the coagulation system, resulting in a prothrombotic state. Although inflammatory conditions and organ-specific diseases have been shown to be strong determinants of morbidity and mortality in patients with COVID-19, it is unclear whether preexisting differences in coagulation impact the severity of COVID-19. African Americans have higher rates of COVID-19 infection and disease-related morbidity and mortality. Moreover, African Americans are known to be at a higher risk for thrombotic events due to both biological and socioeconomic factors. In this review, we explore whether differences in baseline coagulation status and medical management of coagulation play an important role in COVID-19 disease severity and contribute to racial disparity trends within COVID-19.
Author Nazarian, Rosalynn M.
Frydman, Galit H.
Boyer, Edward W.
Van Cott, Elizabeth M.
Piazza, Gregory
AuthorAffiliation 5 Department of Medicine, Division of Cardiovascular Medicine, Brigham and Women’s Hospital, Boston, MA, USA
1 Department of Surgery, Massachusetts General Hospital, Boston, MA, USA
4 Department of Pathology, Massachusetts General Hospital, Boston, MA, USA
2 Department of Biological Engineering, Massachusetts Institute of Technology, Cambridge, MA, USA
3 Department of Emergency Medicine, Brigham and Women’s Hospital, Boston, MA, USA
AuthorAffiliation_xml – name: 1 Department of Surgery, Massachusetts General Hospital, Boston, MA, USA
– name: 3 Department of Emergency Medicine, Brigham and Women’s Hospital, Boston, MA, USA
– name: 2 Department of Biological Engineering, Massachusetts Institute of Technology, Cambridge, MA, USA
– name: 4 Department of Pathology, Massachusetts General Hospital, Boston, MA, USA
– name: 5 Department of Medicine, Division of Cardiovascular Medicine, Brigham and Women’s Hospital, Boston, MA, USA
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  givenname: Galit H.
  orcidid: 0000-0002-8126-8580
  surname: Frydman
  fullname: Frydman, Galit H.
  email: gfrydman@mit.edu
– sequence: 2
  givenname: Edward W.
  surname: Boyer
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BackLink https://www.ncbi.nlm.nih.gov/pubmed/32702995$$D View this record in MEDLINE/PubMed
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Keywords COVID-19
SARS-CoV-2
thrombosis
race
ethnicity
anticoagulation
coagulation
Language English
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Snippet Severe acute respiratory syndrome coronavirus 2 infection (COVID-19) is known to induce severe inflammation and activation of the coagulation system, resulting...
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StartPage 1076029620943671
SubjectTerms African Americans
African Americans - genetics
Anemia, Sickle Cell - blood
Anemia, Sickle Cell - ethnology
Anticoagulants - therapeutic use
Betacoronavirus
Blood Proteins - analysis
Blood Proteins - genetics
Clinical Trials as Topic
Comorbidity
Coronavirus Infections - blood
Coronavirus Infections - complications
Coronavirus Infections - ethnology
Coronaviruses
COVID-19
Factor VIII - analysis
Female
Fibrin Fibrinogen Degradation Products - analysis
Genetic Association Studies
Genetic Predisposition to Disease
Healthcare Disparities
Humans
Lupus Erythematosus, Systemic - blood
Lupus Erythematosus, Systemic - ethnology
Male
Mortality
Pandemics
Patient Selection
Pneumonia, Viral - blood
Pneumonia, Viral - complications
Pneumonia, Viral - ethnology
Polymorphism, Single Nucleotide
Prevalence
Renal Insufficiency, Chronic - blood
Renal Insufficiency, Chronic - ethnology
Review
Risk Factors
SARS-CoV-2
Severe acute respiratory syndrome
Severe acute respiratory syndrome coronavirus 2
Social Determinants of Health
Socioeconomic Factors
Thrombophilia - blood
Thrombophilia - drug therapy
Thrombophilia - ethnology
Thrombophilia - etiology
Venous Thromboembolism - blood
Venous Thromboembolism - ethnology
Venous Thromboembolism - etiology
Venous Thromboembolism - prevention & control
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Title Coagulation Status and Venous Thromboembolism Risk in African Americans: A Potential Risk Factor in COVID-19
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