| Literature DB >> 32857878 |
Thomas C Hanff1,2, Amir M Mohareb3,4, Jay Giri1, Jordana B Cohen2,5, Julio A Chirinos1.
Abstract
Thrombotic complications are frequent in COVID-19 and contribute significantly to mortality and morbidity. We review several mechanisms of hypercoagulability in sepsis that may be upregulated in COVID-19. These include immune-mediated thrombotic mechanisms, complement activation, macrophage activation syndrome, antiphospholipid antibody syndrome, hyperferritinemia, and renin-angiotensin system dysregulation. We highlight biomarkers within each pathway with potential prognostic value in COVID-19. Lastly, recent observational studies have evaluated a role for the expanded use of therapeutic anticoagulation in COVID-19. We review strengths and weaknesses of these studies, and we also discuss the hypothetical benefit and anticipated challenges of fibrinolytic therapy in COVID-19.Entities:
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Year: 2020 PMID: 32857878 PMCID: PMC7674272 DOI: 10.1002/ajh.25982
Source DB: PubMed Journal: Am J Hematol ISSN: 0361-8609 Impact factor: 10.047