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COVID-19-associated Coagulopathy: Role of Vitamins D and K
Bruk Getachew1, Harold E Landis2, Kebreten F Manaye3
1Department of Pharmacology, Howard University College of Medicine, Washington, DC 20059, USA.
Insights
Vitamin D and K deficiencies may worsen COVID-19 coagulopathy, increasing risks for cardiovascular events. Supplementation may help mitigate these risks in patients with coronavirus disease 2019.
Area of Science:
- Biochemistry
- Immunology
- Public Health
Background:
- Coronavirus disease 2019 (COVID-19) is associated with coagulopathy, increasing mortality, particularly in patients with comorbidities like diabetes and hypertension.
- Cardiovascular complications contribute significantly to COVID-19 mortality.
- Existing treatments for severe COVID-19 include anti-inflammatory corticosteroids and anticoagulants, but specific guidelines are lacking.
Purpose of the Study:
- To discuss the roles of vitamin D and vitamin K in general.
- To elucidate the involvement of vitamins D and K in COVID-19-related coagulopathy.
- To provide recommendations for vitamin D and K supplementation to counter COVID-19 complications.
Main Methods:
- Literature review and synthesis of existing research on vitamins D and K.
- Analysis of the impact of vitamin deficiencies on cardiovascular and diabetes conditions in the context of COVID-19.
- Discussion of the mechanisms linking vitamin deficiencies to coagulopathy.
Main Results:
- Vitamin D and K deficiencies can exacerbate pre-existing cardiovascular and diabetes conditions.
- These deficiencies are linked to an increased incidence of coagulopathy in COVID-19 patients.
- Coagulopathy in COVID-19 can lead to severe outcomes such as stroke and heart attack.
Conclusions:
- Vitamin D and K play crucial roles in regulating coagulation.
- Addressing deficiencies in these vitamins may be a viable strategy to manage COVID-19-associated coagulopathy.
- Supplementation with vitamins D and K could be beneficial for managing COVID-19, especially in at-risk populations.
Abstract:
Recent reports show coagulopathy as a potential complication and poorer outcome of coronavirus disease 2019 (COVID-19), especially in those with comorbid conditions such as diabetes and hypertension as thrombosis could result in stroke and heart attacks. Indeed, cardiovascular complications in COVID-19 account for 40% of mortality. Although there is no standard treatment protocol or guidelines for COVID-19, it is a common practice to use anti-inflammatory corticosteroids and anti-coagulants, especially for severe COVID-19 patients. It has also been confirmed that deficiencies of vitamin D and/or vitamin K can exacerbate premorbid cardiovascular and diabetes conditions associated with COVID-19, at least partially due to a higher incidence of coagulopathy. Here, we discuss the roles of vitamins D and K in general and in COVID-19-related coagulopathy. Moreover, the suggestion for proper supplementations of these vitamins in countering COVID-19 is provided.
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