Hypercoagulability and thrombotic events in severe SARS-CoV-2 infections

Authors

DOI:

https://doi.org/10.33448/rsd-v12i11.43772

Keywords:

COVID-19; Hypercoagulability; SARS-CoV-2; Thrombosis.

Abstract

COVID-19 pathology caused by SARS-CoV-2 virus infection manifests mainly with respiratory tract symptoms. However, several studies demonstrate characteristics of a systemic disease with repercussions on the cardiovascular, respiratory, gastrointestinal, neurological, hematopoietic and immunological systems. In the homeostasis process, coagulation represents a defense mechanism of the body, however in some individuals there is an exacerbation of this process, giving rise to complications correlated with hypercoagulability and thromboembolic events. This is an integrative review of the literature through data extraction, analysis, synthesis of results and conclusion of articles already published between the years 2020 and 2023. The following databases were used: Lilacs, PubMed, IBECS and MedLine by through the virtual health library. The objective of the work is to carry out an analysis through reviews of scientific articles on the relationship between the hypercoagulable state in patients with severe SARS-CoV-2, given that there is a relatively high incidence of thrombotic and thromboembolic events as a complication of the disease. It is understood that infection with the virus that causes COVID-19 can lead to a state of hypercoagulability, in which there is an increase in serum levels of fibrinogen, D-dimer and some coagulation factors, favoring thromboembolic events, which highlights the need research, prevention and treatment of these, as they present high morbidity and mortality.

References

Abou-Ismail, M. Y., Diamond, A., Kapoor, S., Arafah, Y., & Nayak, L. (2020). The hypercoagulable state in COVID-19: Incidence, pathophysiology, and management. Thrombosis research, 194, 101-115. https://doi.org/10.1016/j.thromres.2020.06.029

Acharya, Y., Alameer, A., Calpin, G., Alkhattab, M., & Sultan, S. (2022). A comprehensive review of vascular complications in COVID-19. Journal of Thrombosis and Thrombolysis, 1-8. https://doi.org/10.1007/s11239-021-02593-2

Chan, N., & Eikelboom, J. (2021). Hypercoagulability and thrombosis in COVID-19: a modifiable cause for mortality? European Heart Journal, 42(33), 3143-3145. https://doi.org/10.1093/eurheartj/ehab417

Chowdary, P. (2022). COVID‐19 coagulopathy–what should we treat? Experimental Physiology, 107(7), 749-758. https://doi.org/10.1113/EP089404

Corey, K. M., Olson, L. B., Naqvi, I. A., Morrison, S. A., Davis, C., Nimjee, S. M., & Sullenger, B. A. (2022). Suppression of fibrinolysis and hypercoagulability, severity of hypoxemia, and mortality in COVID-19 patients: A retrospective cohort study. Anesthesiology, 137(1), 67-78. https://doi.org/10.1097/ALN.0000000000004239

Fan, B. E., Umapathi, T., Chua, K., Chia, Y. W., Wong, S. W., Tan, G. W. L., & Dalan, R. (2021). Delayed catastrophic thrombotic events in young and asymptomatic post COVID-19 patients. Journal of thrombosis and thrombolysis, 51, 971-977. https://doi.org/10.1007/s11239-020-02332-z

Gerber, G. F., & Chaturvedi, S. (2021). How to recognize and manage COVID-19-associated coagulopathy. Hematology, 2021(1), 614-620. https://doi.org/10.1182/hematology.2021000297

Hanff, T. C., Mohareb, A. M., Giri, J., Cohen, J. B., & Chirinos, J. A. (2020). Thrombosis in COVID‐19. American journal of hematology, 95(12), 1578-1589. https://doi.org/10.1002/ajh.25982

Hottz, E. D., & Martins-Gonçalves, R. Platelet-monocyte interaction amplifies thromboinflammation through tissue factor signaling in COVID-19. Blood Adv. 2022; 6 (17): 5085–99. https://doi.org/10.1182/bloodadvances.2021006680

Ichikawa, J., Okazaki, R., Fukuda, T., Ono, T., Ishikawa, M., & Komori, M. (2022). Evaluation of coagulation status using clot waveform analysis in general ward patients with COVID-19. Journal of Thrombosis and Thrombolysis, 1-5. https://doi.org/10.1007/s11239-021-02499-z

Jayarangaiah, A., Kariyanna, P. T., Chen, X., Jayarangaiah, A., & Kumar, A. (2020). COVID-19-associated coagulopathy: an exacerbated immunothrombosis response. Clinical and Applied Thrombosis/Hemostasis, 26, 1076029620943293. https://doi.org/10.1177/1076029620943293

Kreidieh, F., & Temraz, S. (2021). Anticoagulation for COVID-19 patients: a bird's-eye view. Clinical and Applied Thrombosis/Hemostasis, 27. https://doi.org/10.1177/10760296211039288

Li, M., Gitarts, S., Nyabera, A., Kondaveeti, R., Hammudeh, Y., Gonzalez, C., ... & Rahman, H. (2022). Continuous infusion low-dose unfractionated heparin for the management of hypercoagulability associated with COVID-19. Journal of Pharmacy Practice, 35(2), 205-211. https://doi.org/10.1177/0897190020966207

Manzur-Pineda, K., O’Neil, C. F., Bornak, A., Lalama, M. J., Shao, T., Kang, N., ... & Rey, J. (2022). COVID-19-related thrombotic complications experience before and during delta wave. Journal of Vascular Surgery, 76(5), 1374-1382. https://doi.org/10.1016/j.jvs.2022.04.053

Munoz-Rivas, N., Abad-Motos, A., Mestre-Gomez, B., Sierra-Hidalgo, F., Cortina-Camarero, C., Lorente-Ramos, R. M., ... & Infanta Leonor Thrombosis Research Group. (2021). Systemic thrombosis in a large cohort of COVID-19 patients despite thromboprophylaxis: A retrospective study. Thrombosis research, 199, 132-142. https://doi.org/10.1016/j.thromres.2020.12.024

Pastori, D., Cormaci, V. M., Marucci, S., Franchino, G., Del Sole, F., Capozza, A., & Pignatelli, P. (2023). A comprehensive review of risk factors for venous thromboembolism: from epidemiology to pathophysiology. International Journal of Molecular Sciences, 24(4), 3169. https://doi.org/10.3390/ijms24043169

Pereira, A. S., Shitsuka, D. M., Parreira, F. J., & Shitsuka, R. (2018). Metodologia da pesquisa científica, 6, 93-100.

Ragnoli, B., Da Re, B., Galantino, A., Kette, S., Salotti, A., & Malerba, M. (2023). Interrelationship between COVID-19 and coagulopathy: pathophysiological and clinical evidence. International Journal of Molecular Sciences, 24(10):8945. https://doi.org/10.3390/ijms24108945

Sharma, M., & Surani, S. (2020). Revisiting one of the dreaded outcomes of the current pandemic: pulmonary embolism in COVID-19. Medicina, 56(12), 670. https://doi.org/10.3390/medicina56120670

Violi, F., Pastori, D., Cangemi, R., Pignatelli, P., & Loffredo, L. (2020). Hypercoagulation and antithrombotic treatment in coronavirus 2019: a new challenge. Thrombosis and haemostasis, 120(06), 949-956. https://doi.org/10.1055/s-0040-1710317

Wada, H., Shiraki, K., Shimpo, H., Shimaoka, M., Iba, T., & Suzuki-Inoue, K. (2023). Thrombotic Mechanism Involving Platelet Activation, Hypercoagulability and Hypofibrinolysis in Coronavirus Disease 2019. International Journal of Molecular Sciences, 24(9), 7975. https://doi.org/10.3390/ijms24097975

Warkentin, T. E., & Kaatz, S. (2020). COVID-19 versus HIT hypercoagulability. Thrombosis research, 196, 38-51. https://doi.org/10.1016/j.thromres.2020.08.017

Xie, J., Prats-Uribe, A., Feng, Q., Wang, Y., Gill, D., Paredes, R., & Prieto-Alhambra, D. (2022). Clinical and genetic risk factors for acute incident venous thromboembolism in ambulatory patients with COVID-19. JAMA internal medicine, 182(10), 1063-1070. https://doi.org/10.1001/jamainternmed.2022.3858

Xiang, M., Jing, H., Wang, C., Novakovic, V. A., & Shi, J. (2022). Persistent lung injury and prothrombotic state in long COVID. Frontiers in Immunology, 13, 862522. https://doi.org/10.3389/fimmu.2022.862522

Published

02/11/2023

How to Cite

SATO, T. T. P. .; CAMARGO, K. M. de .; MARTINS, L. G. P. .; MARINHO, P. F. . Hypercoagulability and thrombotic events in severe SARS-CoV-2 infections. Research, Society and Development, [S. l.], v. 12, n. 11, p. e107121143772, 2023. DOI: 10.33448/rsd-v12i11.43772. Disponível em: https://rsdjournal.org/index.php/rsd/article/view/43772. Acesso em: 24 dec. 2024.

Issue

Section

Health Sciences