Coronavirus disease (COVID-19) and disseminated intravascular coagulation syndrome

COVID-19 is an infectious disease caused by the beta-coronavirus SARS-CoV-2 that in 2020 has spread worldwide. In most severe patients, the clinical picture begins with respiratory failure further deteriorating up to multiple organ failure. Development of coagulopathy is the most adverse prognostic....

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Main Authors: A. D. Makatsariya, K. N. Grigoreva, M. A. Mingalimov, V. O. Bitsadze, J. Kh. Khizroeva, M. V. Tretyakova, I. Elalamy, A. S. Shkoda, V. B. Nemirovskiy, D. V. Blinov, D. V. Mitryuk
Format: Article
Language:Russian
Published: IRBIS LLC 2020-07-01
Series:Акушерство, гинекология и репродукция
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Online Access:https://www.gynecology.su/jour/article/view/633
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author A. D. Makatsariya
K. N. Grigoreva
M. A. Mingalimov
V. O. Bitsadze
J. Kh. Khizroeva
M. V. Tretyakova
I. Elalamy
A. S. Shkoda
V. B. Nemirovskiy
D. V. Blinov
D. V. Mitryuk
author_facet A. D. Makatsariya
K. N. Grigoreva
M. A. Mingalimov
V. O. Bitsadze
J. Kh. Khizroeva
M. V. Tretyakova
I. Elalamy
A. S. Shkoda
V. B. Nemirovskiy
D. V. Blinov
D. V. Mitryuk
author_sort A. D. Makatsariya
collection DOAJ
description COVID-19 is an infectious disease caused by the beta-coronavirus SARS-CoV-2 that in 2020 has spread worldwide. In most severe patients, the clinical picture begins with respiratory failure further deteriorating up to multiple organ failure. Development of coagulopathy is the most adverse prognostic. Analyzing currently available clinical data revealed that 71.4 % and 0.6 % of survivors and fatal cases, respectively, demonstrated signs of overt disseminated intravascular coagulation (DIC). Monitoring D-dimer level, prothrombin time, platelet count and fibrinogen content is important for determining indications for treatment and hospitalization in COVID-19 patients. In case such parameters deteriorate, a more pro-active “aggressive” intensive care should be applied. Low molecular weight heparin (LMWH) should be administered to all patients with diagnosed COVID-19 infection (including non-critical patients) requiring hospitalization, but having no contraindications to LMWH.
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series Акушерство, гинекология и репродукция
spelling doaj-art-14918e6a22dc47bc8371a63352befc972025-08-20T03:19:14ZrusIRBIS LLCАкушерство, гинекология и репродукция2313-73472500-31942020-07-0114212313110.17749/2313-7347.132544Coronavirus disease (COVID-19) and disseminated intravascular coagulation syndromeA. D. Makatsariya0K. N. Grigoreva1M. A. Mingalimov2V. O. Bitsadze3J. Kh. Khizroeva4M. V. Tretyakova5I. Elalamy6A. S. Shkoda7V. B. Nemirovskiy8D. V. Blinov9D. V. Mitryuk10Sechenov UniversitySechenov UniversitySechenov UniversitySechenov UniversitySechenov University«Medical Center» LLCSechenov University; Medicine Sorbonne University; Hospital TenonCity Clinical Hospital № 67 named after L.A. Vorokhobov, Moscow Healthcare Department;City Clinical Hospital № 67 named after L.A. Vorokhobov, Moscow Healthcare DepartmentInstitute for Preventive and Social Medicine; Lapino Clinic Hospital, MD Medical Group; Moscow Haass Medical – Social InstituteState Medical and Pharmaceutical University «Nicolae Testemitanu» Republic of MoldovaCOVID-19 is an infectious disease caused by the beta-coronavirus SARS-CoV-2 that in 2020 has spread worldwide. In most severe patients, the clinical picture begins with respiratory failure further deteriorating up to multiple organ failure. Development of coagulopathy is the most adverse prognostic. Analyzing currently available clinical data revealed that 71.4 % and 0.6 % of survivors and fatal cases, respectively, demonstrated signs of overt disseminated intravascular coagulation (DIC). Monitoring D-dimer level, prothrombin time, platelet count and fibrinogen content is important for determining indications for treatment and hospitalization in COVID-19 patients. In case such parameters deteriorate, a more pro-active “aggressive” intensive care should be applied. Low molecular weight heparin (LMWH) should be administered to all patients with diagnosed COVID-19 infection (including non-critical patients) requiring hospitalization, but having no contraindications to LMWH.https://www.gynecology.su/jour/article/view/633sars-cov-2covid-19coronavirusdisseminated intravascular coagulationdicanticoagulant therapylow molecular weight heparinlmwh
spellingShingle A. D. Makatsariya
K. N. Grigoreva
M. A. Mingalimov
V. O. Bitsadze
J. Kh. Khizroeva
M. V. Tretyakova
I. Elalamy
A. S. Shkoda
V. B. Nemirovskiy
D. V. Blinov
D. V. Mitryuk
Coronavirus disease (COVID-19) and disseminated intravascular coagulation syndrome
Акушерство, гинекология и репродукция
sars-cov-2
covid-19
coronavirus
disseminated intravascular coagulation
dic
anticoagulant therapy
low molecular weight heparin
lmwh
title Coronavirus disease (COVID-19) and disseminated intravascular coagulation syndrome
title_full Coronavirus disease (COVID-19) and disseminated intravascular coagulation syndrome
title_fullStr Coronavirus disease (COVID-19) and disseminated intravascular coagulation syndrome
title_full_unstemmed Coronavirus disease (COVID-19) and disseminated intravascular coagulation syndrome
title_short Coronavirus disease (COVID-19) and disseminated intravascular coagulation syndrome
title_sort coronavirus disease covid 19 and disseminated intravascular coagulation syndrome
topic sars-cov-2
covid-19
coronavirus
disseminated intravascular coagulation
dic
anticoagulant therapy
low molecular weight heparin
lmwh
url https://www.gynecology.su/jour/article/view/633
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