COVID-19: Thrombosis, thromboinflammation, and anticoagulation considerations.

dc.contributor.author

Levy, Jerrold H

dc.contributor.author

Iba, Toshiaki

dc.contributor.author

Olson, Lyra B

dc.contributor.author

Corey, Kristen M

dc.contributor.author

Ghadimi, Kamrouz

dc.contributor.author

Connors, Jean M

dc.date.accessioned

2021-08-01T14:06:43Z

dc.date.available

2021-08-01T14:06:43Z

dc.date.issued

2021-07

dc.date.updated

2021-08-01T14:06:43Z

dc.description.abstract

Vascular endothelial injury is a hallmark of acute infection at both the microvascular and macrovascular levels. The hallmark of SARS-CoV-2 infection is the current COVID-19 clinical sequelae of the pathophysiologic responses of hypercoagulability and thromboinflammation associated with acute infection. The acute lung injury that initially occurs in COVID-19 results from vascular and endothelial damage from viral injury and pathophysiologic responses that produce the COVID-19-associated coagulopathy. Clinicians should continue to focus on the vascular endothelial injury that occurs and evaluate potential therapeutic interventions that may benefit those with new infections during the current pandemic as they may also be of benefit for future pathogens that generate similar thromboinflammatory responses. The current Accelerating COVID-19 Therapeutic Interventions and Vaccines (ACTIV) studies are important projects that will further define our management strategies. At the time of writing this report, two mRNA vaccines are now being distributed and will hopefully have a major impact on slowing the global spread and subsequent thromboinflammatory injury we see clinically in critically ill patients.

dc.identifier.issn

1751-5521

dc.identifier.issn

1751-553X

dc.identifier.uri

https://hdl.handle.net/10161/23478

dc.language

eng

dc.publisher

Wiley

dc.relation.ispartof

International journal of laboratory hematology

dc.relation.isversionof

10.1111/ijlh.13500

dc.subject

COVID-19

dc.subject

anticoagulant therapy

dc.subject

coagulopathy

dc.subject

disseminated intravascular coagulation

dc.subject

endothelial cell

dc.subject

thrombosis

dc.title

COVID-19: Thrombosis, thromboinflammation, and anticoagulation considerations.

dc.type

Journal article

duke.contributor.orcid

Levy, Jerrold H|0000-0003-3766-4962

duke.contributor.orcid

Ghadimi, Kamrouz|0000-0002-9287-7541

pubs.begin-page

29

pubs.end-page

35

pubs.issue

S1

pubs.organisational-group

School of Medicine

pubs.organisational-group

Surgery, Cardiovascular and Thoracic Surgery

pubs.organisational-group

Anesthesiology, Cardiothoracic

pubs.organisational-group

Duke

pubs.organisational-group

Surgery

pubs.organisational-group

Clinical Science Departments

pubs.organisational-group

Anesthesiology

pubs.publication-status

Published

pubs.volume

43 Suppl 1

Files

Original bundle

Now showing 1 - 1 of 1
Loading...
Thumbnail Image
Name:
ijlh.13500.pdf
Size:
644.88 KB
Format:
Adobe Portable Document Format