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About:
Hypofibrinolytic state and high thrombin generation may play a major role in sars‐cov2 associated thrombosis
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An Entity of Type :
schema:ScholarlyArticle
, within Data Space :
covidontheweb.inria.fr
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document(s)
Type:
Academic Article
research paper
schema:ScholarlyArticle
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type
Academic Article
research paper
schema:ScholarlyArticle
isDefinedBy
Covid-on-the-Web dataset
has title
Hypofibrinolytic state and high thrombin generation may play a major role in sars‐cov2 associated thrombosis
Creator
Argaud, Laurent
Marcotte, Guillaume
Simon, Marie
Benoit, Remi
Bonnet, Aurelie
Cardiologique, Hôpital
Dargaud, Yesim
David, Jean
Desmurs-Clavel, Helene
Negrier, Claude
Nougier, Christophe
Pradel, Louis
Source
Medline; PMC
abstract
BACKGROUND: Thirty percent of Covid‐19 patients admitted to intensive care units present with thrombotic complications despite thromboprophylaxis. Bed resting, obesity, hypoxia, coagulopathy, acute excessive inflammation are potential mechanisms reported by previous studies. Better understanding of the underlying mechanisms leading to thrombosis is crucial for developing more appropriate prophylaxis and treatment strategies. OBJECTIVE: We aimed to assess fibrinolytic activity and thrombin generation in 78 Covid‐19 patients. PATIENTS AND METHODS: Forty eight patients admitted to intensive care unit (ICU) and 30 patients admitted to the internal medicine department were included in the study. All patients received thromboprophylaxis. We measured fibrinolytic parameters (tPA, PAI‐1, TAFI, alpha2 anti‐plasmin, and tPA‐modified ROTEM), thrombin generation, and other coagulation tests (D‐dimer, fibrinogen, FVIII, antithrombin). RESULTS AND CONCLUSIONS: We observed two key findings: a high thrombin generation capacity which remained within normal values despite heparin therapy and a hypofibrinolysis mainly associated with increased PAI‐1 levels. A modified ROTEM (TEM‐tPA) is able to detect both hypercoagulability and hypofibrinolysis simultaneously in Covid‐19 patients with thrombosis.
has issue date
2020-07-15
(
xsd:dateTime
)
bibo:doi
10.1111/jth.15016
bibo:pmid
32668058
has license
no-cc
sha1sum (hex)
a98887417ea4176318da3c158145fa3e57c47078
schema:url
https://doi.org/10.1111/jth.15016
resource representing a document's title
Hypofibrinolytic state and high thrombin generation may play a major role in sars‐cov2 associated thrombosis
has PubMed Central identifier
PMC7405476
has PubMed identifier
32668058
schema:publication
J Thromb Haemost
resource representing a document's body
covid:a98887417ea4176318da3c158145fa3e57c47078#body_text
is
schema:about
of
named entity 'THROMBOSIS'
named entity 'Covid-19'
named entity 'PAI-1'
named entity 'Haemonetics'
named entity 'TAFI'
named entity 'fibrinolysis'
named entity 'ICU'
named entity 'ICU'
named entity 'fibrinogen'
named entity 'tPA'
named entity 'infection'
named entity 'exogenous'
named entity 'lung'
named entity 'ICU'
named entity 'fibrin'
named entity 'San Diego'
named entity 'TAFI'
named entity 'thrombotic complications'
named entity 'Covid'
named entity 'thrombogenic'
named entity 'hypercoagulable state'
named entity 'TAFI'
named entity 'hypercoagulability'
named entity 'fibrinolytic'
named entity 'fibrinolysis'
named entity 'ICU'
named entity 'TAFI'
named entity 'ICU'
named entity 'thrombin'
named entity 'COVID-19'
named entity 'heparin'
named entity 'Spearman correlation'
named entity 'hypercoagulability'
named entity 'ICU'
named entity 'empirical treatment'
named entity 'PAI-1'
named entity 'standard deviations'
named entity 'thrombin'
named entity 'Antithrombin'
named entity 'Covid'
named entity 'antigen'
named entity 'Covid'
named entity 'thrombosis'
named entity 'PAI-1'
named entity 'deep vein thromboses'
named entity 'pulmonary embolisms'
named entity 'Asnières-sur-Seine'
named entity 'Fibrinolysis'
named entity 'venous thrombosis'
named entity 'thrombosis'
named entity 'coagulation'
named entity 'Covid-19'
named entity 'tPA'
named entity 'animal models'
named entity 'anti-coagulant'
named entity 'arrhythmia'
named entity 'Covid'
named entity 'respiratory failure'
named entity 'thrombotic complications'
named entity 'plasma levels'
named entity 'epidemic'
named entity 'fibrin'
named entity 'trauma patients'
named entity 'hypercoagulable'
named entity 'Paris'
named entity 'observational study'
named entity 'heparin'
named entity 'coagulation'
named entity 'clinical trial'
named entity 'bleeding disorder'
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