Pathogenesis and Treatment Strategies of COVID-19-Related Hypercoagulant and Thrombotic Complications

The new type of pneumonia caused by the severe acute respiratory syndrome coronavirus-2 (SARS-CoV-2) is endemic worldwide, and many countries cannot be spared, becoming a global health concern. The disease was named COVID-19 by the World Health Organization (WHO) on January 30, 2020, when the WHO de...

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Main Author: MA Haimei
Format: Article
Language:English
Published: SAGE Publishing 2020-07-01
Series:Clinical and Applied Thrombosis/Hemostasis
Online Access:https://doi.org/10.1177/1076029620944497
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author MA Haimei
author_facet MA Haimei
author_sort MA Haimei
collection DOAJ
description The new type of pneumonia caused by the severe acute respiratory syndrome coronavirus-2 (SARS-CoV-2) is endemic worldwide, and many countries cannot be spared, becoming a global health concern. The disease was named COVID-19 by the World Health Organization (WHO) on January 30, 2020, when the WHO declared the Chinese outbreak of COVID-19 to be a public health emergency of international concern. The clinical features of COVID-19 include dry cough, fever, diarrhea, vomiting, and myalgia. Similar to SARS-CoV and MERS-CoV, nearly 20% of patients experienced various fatal complications, including acute kidney injury and acute respiratory distress syndrome caused by cytokine storm. Furthermore, systemic cytokine storm induced vascular endothelial injury, which extensively mediates hypercoagulability in blood vessels and disseminated intravascular coagulation. The autopsy pathology of COVID-19 confirmed the above. This article briefly summarizes the mechanism of hypercoagulability and thrombotic complications of severe COVID-19 and proposes that blood hypercoagulability and intravascular microthrombosis are the development nodes of severe COVID-19. Therefore, anticoagulation and anti-inflammatory therapy can be used as important treatment strategies for severe COVID-19.
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spelling doaj.art-79f773cdfe1149df9d810a6f59c036482022-12-21T18:22:58ZengSAGE PublishingClinical and Applied Thrombosis/Hemostasis1938-27232020-07-012610.1177/1076029620944497Pathogenesis and Treatment Strategies of COVID-19-Related Hypercoagulant and Thrombotic ComplicationsMA Haimei0 Department of Blood Transfusion Medicine, Beijing Tsinghua Changgung Hospital, School of Clinical Medicine, Tsinghua University, Beijing, ChinaThe new type of pneumonia caused by the severe acute respiratory syndrome coronavirus-2 (SARS-CoV-2) is endemic worldwide, and many countries cannot be spared, becoming a global health concern. The disease was named COVID-19 by the World Health Organization (WHO) on January 30, 2020, when the WHO declared the Chinese outbreak of COVID-19 to be a public health emergency of international concern. The clinical features of COVID-19 include dry cough, fever, diarrhea, vomiting, and myalgia. Similar to SARS-CoV and MERS-CoV, nearly 20% of patients experienced various fatal complications, including acute kidney injury and acute respiratory distress syndrome caused by cytokine storm. Furthermore, systemic cytokine storm induced vascular endothelial injury, which extensively mediates hypercoagulability in blood vessels and disseminated intravascular coagulation. The autopsy pathology of COVID-19 confirmed the above. This article briefly summarizes the mechanism of hypercoagulability and thrombotic complications of severe COVID-19 and proposes that blood hypercoagulability and intravascular microthrombosis are the development nodes of severe COVID-19. Therefore, anticoagulation and anti-inflammatory therapy can be used as important treatment strategies for severe COVID-19.https://doi.org/10.1177/1076029620944497
spellingShingle MA Haimei
Pathogenesis and Treatment Strategies of COVID-19-Related Hypercoagulant and Thrombotic Complications
Clinical and Applied Thrombosis/Hemostasis
title Pathogenesis and Treatment Strategies of COVID-19-Related Hypercoagulant and Thrombotic Complications
title_full Pathogenesis and Treatment Strategies of COVID-19-Related Hypercoagulant and Thrombotic Complications
title_fullStr Pathogenesis and Treatment Strategies of COVID-19-Related Hypercoagulant and Thrombotic Complications
title_full_unstemmed Pathogenesis and Treatment Strategies of COVID-19-Related Hypercoagulant and Thrombotic Complications
title_short Pathogenesis and Treatment Strategies of COVID-19-Related Hypercoagulant and Thrombotic Complications
title_sort pathogenesis and treatment strategies of covid 19 related hypercoagulant and thrombotic complications
url https://doi.org/10.1177/1076029620944497
work_keys_str_mv AT mahaimei pathogenesisandtreatmentstrategiesofcovid19relatedhypercoagulantandthromboticcomplications