COVID-19 and Hematology-What Do We Know So Far?

Autor: Khandait H; Government Medical College and Hospital, Medical Square, Nagpur, 440003 India., Gandotra G; Lady Hardinge Medical College, Delhi, India., Sachdeva S; Lady Hardinge Medical College, Delhi, India., Kramer CA; Penn State College of Medicine, Hershey, PA USA., Nye D; Penn State College of Medicine, Hershey, PA USA., Golamari R; Division of Hospital Medicine, Department of Medicine, Penn State Hershey Medical Center, Hershey, PA USA., Jain R; Division of Hospital Medicine, Department of Medicine, Penn State Hershey Medical Center, Hershey, PA USA.
Jazyk: angličtina
Zdroj: SN comprehensive clinical medicine [SN Compr Clin Med] 2020; Vol. 2 (12), pp. 2631-2636. Date of Electronic Publication: 2020 Oct 27.
DOI: 10.1007/s42399-020-00607-3
Abstrakt: The severe acute respiratory syndrome-coronavirus-2 (SARS-CoV-2), the causative agent of the novel coronavirus disease 2019 (COVID 19), was reported to the World Health Organization in late 2019. This disease quickly evolved into a public health concern and was declared a pandemic on March 11, 2020. COVID-19's high transmission rate and potential to cause a spectrum of systemic diseases makes it imperative for researchers and clinicians worldwide to collaborate and develop a strategy to manage and contain this disease. Studies have shown a wide range of hematological abnormalities and virus-related coagulopathies in affected patients, resulting in an increased propensity to develop serious thrombotic complications or disseminated intravascular coagulation (DIC) in severe cases. The fatal implications of coagulopathy in the form of pulmonary embolism (PE), myocardial infarction (MI), and cerebral infarction compelled us to study in-depth the pathophysiology and treatment options related to COVID-19. This analysis reviews published reports on patients with confirmed SARS-COV-2 infection and associated coagulopathy, defined as abnormalities in the coagulation parameters prothrombin time (PT), activated partial thromboplastin time (aPTT), antithrombin time, fibrinogen, fibrin degradation products, and D-dimer. In this review, we present the hematological manifestations of COVID-19, focusing on virus-associated coagulopathy and relevant pathophysiology, clinical outcomes, and treatment.
Competing Interests: Conflict of InterestThe authors declare that they have no conflict of interests.
(© Springer Nature Switzerland AG 2020.)
Databáze: MEDLINE
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