COVID-19-related coagulopathy: A review of pathophysiology and pharmaceutical management

Mahdi Kohansal Vajari1, Mahsa Shirin1, Atieh Pourbagheri-Sigaroodi1

  • 1Department of Hematology and Blood Banking, School of Allied Medical Sciences, Shahid Beheshti University of Medical Sciences, Tehran, Iran.

Insights

The novel coronavirus (SARS-CoV-2) causes COVID-19, leading to severe coagulopathy and nonpulmonary organ injury. Understanding COVID-19 coagulopathy pathogenesis and management is crucial for patient outcomes.

Area of Science:

  • Medicine
  • Virology
  • Hematology

Background:

  • The 2019 emergence of SARS-CoV-2 caused a global pandemic.
  • COVID-19 presents with pneumonia but also significant coagulopathy and nonpulmonary organ damage.
  • Coagulopathy in COVID-19 is linked to inflammation, endothelial dysfunction, and complement activation.

Purpose of the Study:

  • To review the pathogenesis, clinical manifestations, and laboratory findings of COVID-19-associated coagulopathy.
  • To summarize current and proposed management strategies for COVID-19 coagulopathy.

Main Methods:

  • Literature review of studies on COVID-19 coagulopathy.
  • Analysis of factors contributing to coagulation dysfunction in COVID-19 patients.
  • Synthesis of information on diagnostic and therapeutic approaches.

Main Results:

  • Coagulopathy is a significant factor in severe COVID-19, contributing to mortality.
  • Key pathogenic factors include inflammation, endothelial dysfunction, and complement activation.
  • Assessment of coagulation parameters aids in early diagnosis and severity prediction.

Conclusions:

  • COVID-19 coagulopathy is complex, involving multiple pathophysiological pathways.
  • Effective management strategies are essential to mitigate coagulopathy-related complications.
  • Low-molecular-weight heparin is a primary treatment, with other options under investigation.

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