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2020 ; 11
(ä): 747
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COVID-19 Sepsis and Microcirculation Dysfunction
#MMPMID32676039
Colantuoni A
; Martini R
; Caprari P
; Ballestri M
; Capecchi PL
; Gnasso A
; Lo Presti R
; Marcoccia A
; Rossi M
; Caimi G
Front Physiol
2020[]; 11
(ä): 747
PMID32676039
show ga
The spreading of Coronavirus (SARS-CoV-2) pandemic, known as COVID-19, has caused
a great number of fatalities all around the World. Up to date (2020 May 6) in
Italy we had more than 28,000 deaths, while there were more than 205.000
infected. The majority of patients affected by COVID-19 complained only slight
symptoms: fatigue, myalgia or cough, but more than 15% of Chinese patients
progressed into severe complications, with acute respiratory distress syndrome
(ARDS), needing intensive treatment. We tried to summarize data reported in the
last months from several Countries, highlighting that COVID-19 was characterized
by cytokine storm (CS) and endothelial dysfunction in severely ill patients,
where the progression of the disease was fast and fatal. Endothelial dysfunction
was the fundamental mechanism triggering a pro-coagulant state, finally evolving
into intravascular disseminated coagulation, causing embolization of several
organs and consequent multiorgan failure (MOF). The Italian Society of Clinical
Hemorheology and Microcirculation was aimed to highlight the role of
microcirculatory dysfunction in the pathogenetic mechanisms of COVID-19 during
the spreading of the biggest challenges to the World Health.