Lessons learnt from COVID-19 coagulopathy
Jecko Thachil
- Vol. 2, Iss: 3, pp 577-584
TLDR
In this article, the authors summarized the lessons learnt from COVID-19 coagulopathy with some perspectives on future clinical and research strategies, including how local versus systemic coagulation can matter, how we can put D-dimers to effective use, exhort more input into identifying a simple platelet activation marker, rethink the role of fibrinogen, look differently at lupus anticoagulant and heparin-induced thrombocytopenia, bring back disseminated intravascular co-agulation into our differential diagnosis slateAbstract:
The coronavirus disease 2019 (COVID-19) pandemic has already left an indelible mark in human lives. Despite the havoc it created, this pandemic also saw significant advances in the management of an infectious disease wherein worldwide collaborative efforts from health care professionals have been unprecedented. One of the commonest complications recognised early in the pandemic is the development of coagulopathy. In this review, the lessons learnt from COVID-19 coagulopathy are summarised with some perspectives on future clinical and research strategies. These include how local versus systemic coagulopathy can matter, how we can put D-dimers to effective use, exhort more input into identifying a simple platelet activation marker, rethink the role of fibrinogen, look differently at lupus anticoagulant and heparin-induced thrombocytopenia, bring back disseminated intravascular coagulation into our differential diagnosis slate and most importantly channel more funding into haemostasis and thrombosis research.read more
Citations
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A central role for amyloid fibrin microclots in long COVID/PASC: origins and therapeutic implications
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An Update on COVID-19 Vaccine Induced Thrombotic Thrombocytopenia Syndrome and Some Management Recommendations.
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The potential role of ischaemia–reperfusion injury in chronic, relapsing diseases such as rheumatoid arthritis, Long COVID, and ME/CFS: evidence, mechanisms, and therapeutic implications
TL;DR: In this article , the authors argue that I-R injury also underpins elements of the pathology of a variety of chronic, inflammatory diseases, including rheumatoid arthritis, ME/CFS and, most proximally, Long COVID.
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Vaccine-Associated Thrombocytopenia and Thrombosis: Venous Endotheliopathy Leading to Venous Combined Micro-Macrothrombosis
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TL;DR: In this article, a two-path unifying theory of in vivo hemostasis was identified based on the activation of inflammatory and micro-thrombotic pathway for vaccine-associated side effects.
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Haematological predictors of poor outcome among COVID-19 patients admitted to an intensive care unit of a tertiary hospital in South Africa
Zivanai C. Chapanduka,Ibtisam Abdullah,Brian W. Allwood,Coenraad F.N. Koegelenberg,Elvis M Irusen,U Lalla,Annalise E Zemlin,T. E. Masha,Rajiv T Erasmus,Thumeka P. Jalavu,Veranyuy D. Ngah,Anteneh Yalew,Lovemore N. Sigwadhi,Nicola Baines,Jacques Lukenze Tamuzi,Marli McAllister,Anne K. Barasa,V. Magutu,Caroline W .Njeru,Angela Amayo,Marianne W Wanjiru Mureithi,Mary Mungania,Musa E Sono-Setati,Alimuddin Zumla,Peter Nyasulu +24 more
TL;DR: In this article , the authors performed an evaluation of baseline haematological parameters as prognostic biomarkers in ICU COVID-19 patients and found that raised neutrophil count, neutrophILR and D-dimer levels were associated with higher mortality.
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