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COVID-19 Associated Coagulopathy and Thrombotic Complications #MMPMID32795186
Mezalek ZT; Khibri H; Ammouri W; Bouaouad M; Haidour S; Harmouche H; Maamar M; Adnaoui M
Clin Appl Thromb Hemost 2020[Jan]; 26 (?): 1076029620948137 PMID32795186show ga
The SARS-CoV-2 virus caused a global pandemic within weeks, causing hundreds of thousands of people infected. Many patients with severe COVID-19 present with coagulation abnormalities, including increase D-dimers and fibrinogen. This coagulopathy is associated with an increased risk of death. Furthermore, a substantial proportion of patients with severe COVID-19 develop sometimes unrecognized, venous, and arterial thromboembolic complications. A better understanding of COVID-19 pathophysiology, in particular hemostatic disorders, will help to choose appropriate treatment strategies. A rigorous thrombotic risk assessment and the implementation of a suitable anticoagulation strategy are required. We review here the characteristics of COVID-19 coagulation laboratory findings in affected patients, the incidence of thromboembolic events and their specificities, and potential therapeutic interventions.