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10.1016/j.thromres.2021.01.005

http://scihub22266oqcxt.onion/10.1016/j.thromres.2021.01.005
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33493983!7813504!33493983
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suck abstract from ncbi


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pmid33493983      Thromb+Res 2021 ; 200 (ä): 1-8
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  • Mechanisms of thrombosis and cardiovascular complications in COVID-19 #MMPMID33493983
  • Page EM; Ariens RAS
  • Thromb Res 2021[Apr]; 200 (ä): 1-8 PMID33493983show ga
  • BACKGROUND: The novel coronavirus SARS-CoV-2, responsible for the 2019-2020 global (COVID-19) pandemic, is a respiratory virus associated with the development of thromboembolic complications and respiratory failure in severe cases. Increased risk of pulmonary embolism and thrombosis has been identified in COVID-19 patients, alongside accompanying elevations in potential prognostic biomarkers, including D-dimer, IL-6 and cardiac specific troponins. Our aim was to provide a scoping review of the available literature regarding thrombosis risk, other cardiovascular implications, and their biomarkers in COVID-19 to highlight potential disease mechanisms. METHODS: Authors conducted a literature search in PubMed using MeSH headings "disseminated intravascular coagulation", "pulmonary embolism", "thromb*", "stroke", "myocardial infarction" and "acute lung injury", as well as terms "COVID-19", "SARS-CoV-2", "2019 novel coronavirus" and "2019-nCoV". RESULTS AND CONCLUSIONS: COVID-19 disease is characterised by the interactions between hyperactive coagulation and complement systems - induced by hyper-inflammatory conditions, resulting in a pro-thrombotic state and diffuse tissue injury. There are several promising prognostic markers of disease severity, with D-dimer the most significant. The presence of thrombocytopenia appears to be a key indicator of patient deterioration. Further research is required to understand the underlying pathophysiology in COVID-19 and its implications in disease progression and patient management. Randomised trials are urgently needed to determine the safety of proposed therapeutic anticoagulation with heparin and the role for anti-platelet agents, such as Ticagrelor, in patient management.
  • |Biomarkers[MESH]
  • |COVID-19/*complications[MESH]
  • |Humans[MESH]
  • |Thrombocytopenia/virology[MESH]
  • |Thromboembolism/*virology[MESH]


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