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Published on: August 4, 2023
[Coagulopathy in COVID-19: pathophysiology]
Simona Pierini1, Eufemia Incampo1, Daniela Bokor1
1U.O.C. Cardiologia-UTIC.
Insights
The COVID-19 pandemic is linked to systemic inflammation, causing blood clotting issues and venous thromboembolism. Understanding these coagulopathy mechanisms is crucial for future treatments.
Area of Science:
- Medicine
- Pathophysiology
- Infectious Diseases
Background:
- The World Health Organization declared COVID-19 a pandemic on March 11, 2020.
- Italian physicians were among the first to manage COVID-19 patients.
- Clinical observations revealed a systemic inflammatory response alongside respiratory symptoms.
Purpose of the Study:
- To review the literature on COVID-19-associated coagulopathy.
- To understand the pathophysiological mechanisms of COVID-19-induced coagulation disorders.
- To inform future clinical and therapeutic strategies.
Main Methods:
- Literature review of available scientific publications.
- Analysis of clinical observations regarding COVID-19 and coagulation.
- Synthesis of pathophysiological insights into coagulopathy.
Main Results:
- COVID-19 involves a systemic inflammatory response.
- This inflammation leads to coagulation disorders.
- Complications include venous thromboembolism and other thrombotic events.
Conclusions:
- Coagulopathy is a significant complication of COVID-19.
- Further understanding of its mechanisms is needed.
- This knowledge will guide clinical management and therapy development.
Abstract:
On March 11, 2020, just after 2 months from the first cases of coronavirus disease 2019 (COVID-19) in China, the Director-General of the World Health Organization stated that COVID-19 has to be considered as a pandemic. Italian doctors were the first protagonists, after the Chinese ones, in the management of this disease. Clinical observations showed that, in addition to the respiratory infection, a systemic inflammatory response occurs, which leads to coagulation disorders and consequent venous thromboembolism as well as other thrombotic complications. We here review the available literature on this issue to better understand the pathophysiological mechanisms of coagulopathy useful to draw future clinical and therapeutic conclusions.
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