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10.1111/jth.15267

http://scihub22266oqcxt.onion/10.1111/jth.15267
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33587810!8013297!33587810
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suck abstract from ncbi


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pmid33587810      J+Thromb+Haemost 2021 ; 19 (4): 1064-1070
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  • Prolonged elevation of D-dimer levels in convalescent COVID-19 patients is independent of the acute phase response #MMPMID33587810
  • Townsend L; Fogarty H; Dyer A; Martin-Loeches I; Bannan C; Nadarajan P; Bergin C; O'Farrelly C; Conlon N; Bourke NM; Ward SE; Byrne M; Ryan K; O'Connell N; O'Sullivan JM; Ni Cheallaigh C; O'Donnell JS
  • J Thromb Haemost 2021[Apr]; 19 (4): 1064-1070 PMID33587810show ga
  • BACKGROUND: Persistent fatigue, breathlessness, and reduced exercise tolerance have been reported following acute COVID-19 infection. Although immuno-thrombosis has been implicated in acute COVID-19 pathogenesis, the biological mechanisms underpinning long COVID remain unknown. We hypothesized that pulmonary microvascular immuno-thrombosis may be important in this context. METHODS: One hundred fifty COVID-19 patients were reviewed at St James's Hospital Dublin between May and September 2020 at a median of 80.5 (range 44-155) days after initial diagnosis. These included patients hospitalized during initial illness (n = 69) and others managed entirely as out-patients (n = 81). Clinical examination, chest x-ray, and 6-min walk tests were performed. In addition, a range of coagulation and inflammatory markers were assessed. RESULTS: Increased D-dimer levels (>500 ng/ml) were observed in 25.3% patients up to 4 months post-SARS-CoV-2 infection. On univariate analysis, elevated convalescent D-dimers were more common in COVID-19 patients who had required hospital admission and in patients aged more than 50 years (p < .001). Interestingly, we observed that 29% (n = 11) of patients with elevated convalescent D-dimers had been managed exclusively as out-patients during their illness. In contrast, other coagulation (prothrombin time, activated partial thromboplastin time, fibrinogen, platelet count) and inflammation (C-reactive protein, interleukin-6, and sCD25) markers had returned to normal in >90% of convalescent patients. CONCLUSIONS: Elucidating the biological mechanisms responsible for sustained D-dimer increases may be of relevance in long COVID pathogenesis and has implications for clinical management of these patients.
  • |*Acute-Phase Reaction[MESH]
  • |Aged[MESH]
  • |COVID-19/*blood/rehabilitation[MESH]
  • |Female[MESH]
  • |Fibrin Fibrinogen Degradation Products/*analysis[MESH]
  • |Humans[MESH]
  • |Male[MESH]
  • |Middle Aged[MESH]


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