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Thrombotic events in COVID-19 patients: A case series and literature review
Zahra Javidarabshahi1, Shohre Khatami2, Roxana Rezazade2
1Lung Diseases Research Center, Mashhad University of Medical Science, Mashhad, Iran.
Insights
Coronavirus disease 2019 (COVID-19) increases the risk of thrombotic events, including pulmonary embolism, deep vein thrombosis, stroke, and myocardial infarction. This suggests a hyper-coagulative state in patients with COVID-19.
Area of Science:
- Cardiology
- Infectious Diseases
- Vascular Medicine
Background:
- The clinical manifestations of Coronavirus disease 2019 (COVID-19) are diverse and not fully understood.
- COVID-19 has rapidly become a global pandemic with significant health implications.
Observation:
- This case series details six patients diagnosed with COVID-19 who experienced thrombotic events.
- Diagnoses included pulmonary thromboembolism (3 patients), deep vein thrombosis (1 patient), cerebrovascular accident (1 patient), and myocardial infarction (1 patient).
Findings:
- COVID-19 patients exhibited a range of thrombotic complications.
- Diagnostic methods included computed tomography (CT) angiography, Doppler ultrasonography, brain CT, and electrocardiogram.
Implications:
- COVID-19 may predispose patients to thrombotic conditions.
- A hyper-inflammatory and hyper-coagulative state could be responsible for these events.
- Further prospective research is warranted to validate these observations.
Background:
Coronavirus disease 2019 (COVID-19) has rapidly emerged as a threatening pandemic. Clinical features of this pandemic involve a wide range of manifestations and are not completely known. Here, we present six cases of thrombotic events in patients with COVID-19.
Case Presentation:
In this case series, we present six patients with confirmed COVID-19, according to real-time polymerase chain reaction, who were referred to our emergency department and were found to have thrombotic events. Pulmonary thromboembolism was diagnosed in three patients by computed tomography (CT) angiography. One patient was found to have deep vein thrombosis in Doppler ultrasonography. Another patient who presented with loss of consciousness was finally diagnosed with a cerebrovascular accident using brain CT. One of the patients had developed a myocardial infarction evident on the electrocardiogram.
Conclusion:
It is ostensible that COVID-19 puts the patients at an increased risk for developing thrombotic conditions, possibly through formation of hyper-inflammatory and hyper-coagulative states. However, further prospective studies are recommended to confirm these findings.
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