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10.1016/j.jvsv.2020.05.018

http://scihub22266oqcxt.onion/10.1016/j.jvsv.2020.05.018
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C7297687!7297687!32561465
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suck abstract from ncbi


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pmid32561465      J+Vasc+Surg+Venous+Lymphat+Disord 2020 ; 8 (5): 711-6
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  • Coagulopathy, thromboembolic complications, and the use of heparin in COVID-19 pneumonia #MMPMID32561465
  • Costanzo L; Palumbo FP; Ardita G; Antignani PL; Arosio E; Failla G
  • J Vasc Surg Venous Lymphat Disord 2020[Sep]; 8 (5): 711-6 PMID32561465show ga
  • The SARS-CoV-2 (COVID-19) is causing a pandemic and potentially fatal disease of global public health concern. Viral infections are known to be associated with coagulation impairment; thus, thrombosis, hemorrhage, or both may occur. Understanding the pathophysiologic mechanisms underlying the development of coagulation disorders during viral infection is essential for the development of therapeutic strategies. Coagulopathy in COVID-19 infection is emerging as a precipitant factor for severe respiratory complications and death. An increase in coagulation markers, such as fibrinogen and D-dimer, has been found in severe COVID-19 cases. Heparin, clinically used as an anticoagulant, also has anti-inflammatory properties, including binding of inflammatory cytokines, inhibition of neutrophil chemotaxis, and protection of endothelial cells, and a potential antiviral effect. We hypothesized that low-molecular-weight heparin may attenuate cytokine storm in COVID-19 patients; therefore, low-molecular-weight heparin could be a valid adjunctive therapeutic drug for the treatment of COVID-19 pneumopathy. In this paper, we review potential mechanisms involved in coagulation impairment after viral infection and the possible role of heparin in the treatment of COVID-19 patients.
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