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10.1080/09537104.2021.1961718

http://scihub22266oqcxt.onion/10.1080/09537104.2021.1961718
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34847829!ä!34847829

suck abstract from ncbi


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pmid34847829      Platelets 2022 ; 33 (1): 48-53
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  • Thrombocytopathy vs Platelet hyper-reactivity in COVID-19: diverse pathologies, disease outcomes and therapeutic implications #MMPMID34847829
  • Tafazoli A; Anil Kumar S; Othman M
  • Platelets 2022[Jan]; 33 (1): 48-53 PMID34847829show ga
  • Coagulopathy is an evident complication of COVID-19 with predominance of a prothrombotic state. Platelet activation plays a key role. The terms "hyper-reactivity" and "hyperactivity" used in recent literature may not be clear or sufficient to explain the pathological events involved in COVID-related thrombosis (CRT). Inflammation may play a bigger role compared to thrombosis in COVID-related mortality because a smaller percentage of patients with COVID-19 die due to direct effects of thrombosis. Not all COVID-19 patients have thrombocytopenia and a few show thrombocytosis. We believe the platelet pathology is more complex than just activation or hyper-activation, particularly due to the platelets' role in inflammation. Understanding the pathology and consequences of platelets' role may help optimize management strategies and diminish CRT-associated morbidity and mortality. In this viewpoint report, we examine the published evidence of platelet hyper-reactivity in COVID-19 with a focused analysis of the key pathologies, diverse alterations, disease outcomes, and therapeutic targets. We believe that COVID-19 is a disease of inflammation and pathologic platelets, and based on the complexity and diverse pathologies, we propose the term "thrombocytopathy" as a more reflective term of the platelets' involvement in COVID-19. In our opinion, thrombocytopathy is the unpredictable pathologic alterations of platelets in function, morphology and number, caused by different factors with a variety of presentations.
  • |Abciximab/therapeutic use[MESH]
  • |Acute Disease[MESH]
  • |Anticoagulants/therapeutic use[MESH]
  • |Aspirin/therapeutic use[MESH]
  • |Blood Platelets/drug effects/*pathology/virology[MESH]
  • |COVID-19 Drug Treatment[MESH]
  • |COVID-19/*complications/diagnosis/virology[MESH]
  • |Clopidogrel/therapeutic use[MESH]
  • |Cytokine Release Syndrome/*complications/diagnosis/drug therapy/virology[MESH]
  • |Disseminated Intravascular Coagulation/*complications/diagnosis/drug therapy/virology[MESH]
  • |Fibrinolytic Agents/therapeutic use[MESH]
  • |Humans[MESH]
  • |Lung/blood supply/drug effects/pathology/virology[MESH]
  • |Platelet Activation/drug effects[MESH]
  • |Pulmonary Embolism/*complications/diagnosis/drug therapy/virology[MESH]
  • |SARS-CoV-2/*pathogenicity[MESH]


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