COVID-19 and ischemic stroke

Dimitrios Sagris1, Aikaterini Papanikolaou1, Alexandra Kvernland2

  • 1Department of Internal Medicine, Faculty of Medicine, School of Health Sciences, University of Thessaly, Larissa, Greece.

Insights

COVID-19 patients frequently experience thrombotic complications, including ischemic stroke. This review covers COVID-19

Area of Science:

  • Neurology
  • Infectious Diseases
  • Cardiovascular Medicine

Background:

  • The COVID-19 pandemic has seen a significant rise in thrombotic complications among patients.
  • Ischemic stroke is a notable complication, impacting patient outcomes and healthcare systems.
  • Potential mechanisms include immune responses, renin-angiotensin system alterations, and direct SARS-CoV-2 effects on tissues.

Purpose of the Study:

  • To review the current understanding of ischemic stroke in COVID-19 patients.
  • To bridge the gap between basic science research and clinical practice.
  • To provide insights relevant to managing stroke during the global health crisis.

Main Methods:

  • Literature review of existing studies on COVID-19 and ischemic stroke.
  • Synthesis of epidemiological data, clinical manifestations, and pathophysiological mechanisms.
  • Analysis of challenges in stroke management within the context of the pandemic.

Main Results:

  • COVID-19 is associated with an increased incidence of thrombotic events and ischemic stroke.
  • Multiple interconnected mechanisms contribute to stroke pathogenesis in COVID-19.
  • Healthcare systems faced unprecedented challenges in managing stroke patients during the pandemic.

Conclusions:

  • Understanding the multifaceted nature of ischemic stroke in COVID-19 is crucial.
  • Integrated approaches are needed to address both the viral infection and cerebrovascular complications.
  • This review provides a foundation for improved clinical strategies and future research.

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