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Updated: Sep 25, 2025

Monitoring Changes in Human Umbilical Vein Endothelial Cells upon Viral Infection Using Impedance-Based Real-Time Cell Analysis
Published on: May 5, 2023
Blood hyperviscosity in acute and recent COVID-19 infection
Aleesha Shaik1, Qinzhong Chen1, Phyu Mar1
1Metabolism and Lipids Unit, Mount Sinai Heart, Icahn School of Medicine at Mount Sinai, New York, USA.
Whole blood viscosity (WBV) is significantly elevated in acute and early convalescent COVID-19 patients, suggesting hyperviscosity contributes to thrombotic risk. These findings highlight the need for thromboprophylaxis in these patients.
Area of Science:
- Hematology
- Cardiovascular Physiology
- Infectious Diseases
Background:
- Elevated estimated blood viscosity (EBV) in COVID-19 correlates with poor outcomes.
- EBV, derived from hematocrit and globulins, doesn't capture cellular or fibrinogen effects.
- Understanding whole blood viscosity (WBV) in COVID-19 is crucial for assessing thrombotic risk.
Purpose of the Study:
- To investigate alterations in whole blood viscosity (WBV) in patients with acute and recent COVID-19.
- To measure WBV at both high and low shear rates using in vitro blood samples.
- To compare WBV in acute COVID-19, early convalescent, late convalescent, and control groups.
Main Methods:
- Cross-sectional study of 58 participants (15 acute COVID-19, 32 convalescent, 11 controls).
- Whole blood viscosity (WBV) measured at high shear rate (HSR, 300 s-1) and low shear rate (LSR, 5 s-1).
- Scanning capillary viscometer used for WBV measurements.
Main Results:
- Acute and convalescent (<8 weeks) COVID-19 patients exhibited significantly higher WBV at both HSR and LSR compared to controls.
- WBV in acute and early convalescent (<8 weeks) groups was significantly higher than in late convalescent (>8 weeks) patients.
- No significant WBV difference was found between acute and early convalescent (<8 weeks) groups, nor between late convalescent (>8 weeks) and control groups.
Conclusions:
- Sustained hyperviscosity in acute and early convalescent COVID-19 patients may explain their elevated thrombotic risk.
- These findings underscore the importance of considering hyperviscosity in thromboprophylaxis strategies for COVID-19 patients.
- WBV measurements offer a more comprehensive assessment of blood rheology in COVID-19 than EBV.
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