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Updated: Aug 22, 2025

Stenosis of the Inferior Vena Cava: A Murine Model of Deep Vein Thrombosis
Published on: December 22, 2017
Mortality and Deep Vein Thrombosis in the Gamma Variant of Covid 19 and Lung Injury
Carolina Hungaro Cunha1, Debora Yuri Sato1, Jose Maria Pereira de Godoy2
1Ecography Service in Hospital de Base-FUNFARME/FAMERP, Sao Jose do Rio Preto, Brazil.
Insights
Deep vein thrombosis worsens mortality in COVID-19 patients. The Gamma variant of SARS-CoV-2 increases both thrombosis and death rates, highlighting critical risk factors.
Area of Science:
- Pulmonary Medicine
- Infectious Diseases
- Hematology
Background:
- SARS-CoV-2 infection is linked to thrombosis, but mechanisms remain unclear.
- Coagulation balance is crucial for managing critically ill COVID-19 patients.
- Understanding thrombosis in COVID-19 is vital for preventing complications.
Purpose of the Study:
- Investigate pulmonary injury patterns in COVID-19 patients with deep vein thrombosis (DVT).
- Compare mortality and lung injury in COVID-19 patients with and without DVT.
- Determine the impact of the SARS-CoV-2 Gamma variant on DVT and mortality.
Main Methods:
- Retrospective study of 200 COVID-19 patients with suspected DVT in an ICU.
- Patients categorized into DVT-positive and DVT-negative groups.
- Statistical analysis using Fisher's exact test, paired t-test, and chi-square test.
Main Results:
- DVT patients exhibited significantly more severe lung injuries (>70%) compared to non-DVT patients (p=0.003).
- Pulmonary lesions <50% were more common in patients without DVT (p=0.0001).
- The Gamma variant was associated with increased prevalence of DVT and mortality (p=0.0001).
Conclusions:
- Deep vein thrombosis is an aggravating factor for mortality in SARS-CoV-2 patients.
- The Gamma variant exacerbates both thrombotic events and mortality in COVID-19.
Purpose:
The SARS-CoV-2 disease predisposes infected individuals to thrombosis, the underlying mechanisms of which are not fully understood. The balance between pro-coagulant factors and natural coagulation inhibitors in critically ill patients with Covid-19 is fundamental to the prevention and treatment of complications. The aim of the present study was to investigate the pulmonary injury patterns in Covid-19 having higher mortality in the presence of deep vein thrombosis in comparison to patients without venous thrombosis and determine the Gamma variant.
Methods:
A retrospective study was conducted involving the evaluation of 200 medical records of patients with Covid-19 and a clinical suspicion of deep vein thrombosis (DVT) at the intensive care unit of a public hospital. The sample was divided into two groups of patients were formed - those positive and those negative for DVT. Statistical analysis involved the use of Fisher's exact test, the paired t-test and chi-square test.
Results:
Patients with DVT had more severe lung injuries (greater than 70%) compared to those without DVT (p = 0.003). Lesions affecting 50% to 70% of the lung area occurred in little more half of the group with DVT and just under half in the group without DVT (p = 0.5). Pulmonary lesions affecting less than 50% of the lung occurred more in patients without DVT (p = 0.0001). The Gamma variant increased prevalence of the both DVT and mortality (p=0.0001).
Conclusion:
Deep vein thrombosis is an aggravating factor of mortality in patients with SARS-CoV-2, and the Gamma variant is an aggravating factor of both thrombotic events and mortality.
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