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10.4097/kja.20327

http://scihub22266oqcxt.onion/10.4097/kja.20327
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32773727!8342838!32773727
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suck abstract from ncbi


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pmid32773727      Korean+J+Anesthesiol 2021 ; 74 (4): 350-354
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  • Hyper- and hypocoagulability in COVID-19 as assessed by thromboelastometry -two case reports #MMPMID32773727
  • Kong R; Hutchinson N; Gorlinger K
  • Korean J Anesthesiol 2021[Aug]; 74 (4): 350-354 PMID32773727show ga
  • BACKGROUND: Coronavirus disease (COVID-19)-associated coagulopathy is most often characterized by elevated D-dimer, interleukin-6, and plasma fibrinogen concentrations as well as hypercoagulability in thromboelastometry with increased clot firmness in the EXTEM, INTEM, and FIBTEM assays. Clinically, it manifests with a very high incidence of thrombosis, particularly in the pulmonary system, whereas bleeding complications are infrequent. CASE: Here, we describe two critically ill patients with COVID-19 admitted to our intensive care unit demonstrating different thromboelastometry and biomarker patterns. One patient presented with hypercoagulability and the other patient with hypocoagulability and fibrinolysis shutdown in thromboelastometry. The pathophysiology and the potential impact on treatment options are discussed. CONCLUSIONS: A combination of biomarkers and thromboelastometry results can be helpful in the future to decide which therapeutic strategy might be most appropriate for critically ill patients with COVID-19. This would be an important step to establish precision medicine in this high-risk patient population.
  • |Aged[MESH]
  • |Blood Coagulation Disorders/*complications/*diagnosis/pathology[MESH]
  • |COVID-19/*complications[MESH]
  • |Fatal Outcome[MESH]
  • |Female[MESH]
  • |Humans[MESH]
  • |Male[MESH]
  • |Middle Aged[MESH]
  • |SARS-CoV-2[MESH]
  • |Thrombelastography/*methods[MESH]


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