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Published on: May 22, 2019
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.
Abstract:
Since the onset of the COVID-19 pandemic, a substantial proportion of COVID-19 patients had documented thrombotic complications and ischemic stroke. Several mechanisms related to immune-mediated thrombosis, the renin angiotensin system and the effect of SARS-CoV-2 in cardiac and brain tissue may contribute to the pathogenesis of ischemic stroke in patients with COVID-19. Simultaneously, significant strains on global healthcare delivery, including ischemic stroke management, have made treatment of stroke in the setting of COVID-19 particularly challenging. In this review, we summarize the current knowledge on epidemiology, clinical manifestation, and pathophysiology of ischemic stroke in patients with COVID-19 to bridge the gap from bench to bedside and clinical practice during the most challenging global health crisis of the last decades.
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