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10.1097/MD.0000000000021513

http://scihub22266oqcxt.onion/10.1097/MD.0000000000021513
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32756189!7402888!32756189
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suck abstract from ncbi


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pmid32756189      Medicine+(Baltimore) 2020 ; 99 (31): e21513
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  • D-dimer surge and coagulation disorders in COVID-19 related pneumonia patients with cardiac injury: A case series #MMPMID32756189
  • Wang X; Du B; Li J; Wang S; Wang X; Guo M; Yang B; Si D; Bai O
  • Medicine (Baltimore) 2020[Jul]; 99 (31): e21513 PMID32756189show ga
  • BACKGROUND: Cardiac injury and coagulation disorders have been two increasing concerns in the management of patients with severe coronavirus disease (COVID-19). Coagulation disorders in COVID-19 patients with cardiac injury have not been characterized. METHODS: We analyzed the data of five COVID-19 patients with cardiac injury who had D-dimer surge (defined as a rapid increase in the D-dimer level in 72 h, from <5-21 mug/mL) during hospitalization, which were extracted from a registered retrospective study (ChiCTR2000031301). Clinical data and data on changes in coagulation parameters were collected, verified, and characterized. RESULTS: Among these five patients, four had pre-existing cardiovascular or cerebrovascular diseases. D-dimer surge was accompanied with prolonged prothrombin time (PT) and reduced platelet count (PLT) and fibrinogen level. Three patients had an ISTH DIC score of 5 and met the criteria for overt DIC. All five patients needed invasive ventilation support and were incubated 0 to 6 days after the first D-dimer upper reference limit (URL) was reached. All five patients died within 10 days after the first D-dimer URL was reached. All five patients had observed D-dimer URL results 1 to 3 days before death. CONCLUSION: D-dimer surge in COVID-19 patients with cardiac injury surely leads to worse in-hospital outcome. D-dimer surge and concomitant DIC can be the leading causes of in-hospital death. Pre-existing cardiovascular or cerebrovascular diseases might pose a higher risk for developing these coagulation disorders. These findings can serve as hypothesis generating and need further clinical trials to confirm.
  • |*Betacoronavirus[MESH]
  • |Aged[MESH]
  • |Aged, 80 and over[MESH]
  • |Blood Coagulation Disorders/*virology[MESH]
  • |COVID-19[MESH]
  • |Cardiovascular Diseases/*virology[MESH]
  • |Coronavirus Infections/*blood/complications/virology[MESH]
  • |Fatal Outcome[MESH]
  • |Fibrin Fibrinogen Degradation Products/*metabolism[MESH]
  • |Humans[MESH]
  • |Male[MESH]
  • |Middle Aged[MESH]
  • |Pandemics[MESH]
  • |Pneumonia, Viral/*blood/complications/virology[MESH]
  • |Retrospective Studies[MESH]


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