Journal of Advanced Research in Health Sciences

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DOI :10.26650/JARHS2020-S1-0014   IUP :10.26650/JARHS2020-S1-0014    Full Text (PDF)

Pulmonary Intravascular Coagulation Pathogenesis in COVID-19 and Treatment Recommendations

Faik Sarıalioğlu, Fatma Burcu Belen Apak

It has been recently shown that the activation of the coagulation system takes an important part in the pathogenesis of COVID-19. It has come into insight that the mortality rate is lower in patients who were administered low molecular weight heparin (LMWH) during the course of COVID-19 when compared with those who were treated without LMWH. However, we observe that the coagulopathy accompanying COVID-19 seems to be different from sepsis associated disseminated intravascular coagulation (DIC), therefore we think that organ specific coagulopathy should be better named ‘Pulmonary Intravascular CoagulationPIC’. Here we provide possible pathogenetic mechanisms underlying COVID-19 including PIC and give treatment recommendations as administration of prophylactic LMWH at patients with increased D-dimer levels at early phase, escalation to treatment dose of LMWH in case of increasing D-dimers and usage of tPA or defibrotide with evaluation of bleeding risk in patients with respiratory insufficiency. However, in what point of COVID-19 disease shall those anticoagulant/antitrombotic-thrombolytic agents used must be evaluated with further studies.

Keywords: COVID-19, pulmonary intravascular coagulation (PİC), low molecular weight heparin, tissue plasminogen activator (tPA), defibrotide
DOI :10.26650/JARHS2020-S1-0014   IUP :10.26650/JARHS2020-S1-0014    Full Text (PDF)

COVID-19 Patogenezinde Pulmoner İntravasküler Koagülasyon ve Tedavi Önerileri

Faik Sarıalioğlu, Fatma Burcu Belen Apak

Tüm dünyayı ve ülkemizi etkisi altına alan COVID-19 hastalığının patogenezinde koagülasyon sisteminin aktive olmasının önemli rolü olduğu, dissemine intravasküler koagülasyonun (DİK) laboratuvar bulgularından D-dimer değeri yüksek olan olgulara erken dönemde düşük molekül ağırlıklı heparin (DMAH) başlanması durumunda mortalitenin azaldığı bilinmektedir. COVID-19 enfeksiyonundaki ana mekanizmalardan birinin sepsis ilişkili DİK’ten farklı organa özgü ‘Pulmoner İntravasküler Koagülasyon-PİK’ olduğunu düşünmekteyiz. Patogenetik mekanizmaları açıkladığımız derlememizde PİK erken dönemlerinde profilaktik dozda DMAH, D-dimer artışı devam etmesi durumunda tedavi dozunda DMAH, respiratuar yetmezlik gelişmesi durumunda kanama riski göz önünde bulundurularak doku plazminojen aktivatörü (tPA) ve defibrotid tedavilerinin kullanımı konusunda tedavi önerileri yer almaktadır. Bu tedavilerin COVID-19 enfeksiyonunun hangi aşamalarında kullanılmasının uygun olacağının netleştirilmesi için klinik araştırmalara gerek duyulmaktadır

Keywords: COVID-19, pulmoner intravasküler koagülasyon (PİK), düşük molekül ağırlıklı heparin (DMAH), doku plazminojen aktivatörü (tPA), defibrotid

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Citations

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APA

Sarıalioğlu, F., & Belen Apak, F.B. (2020). Pulmonary Intravascular Coagulation Pathogenesis in COVID-19 and Treatment Recommendations. Journal of Advanced Research in Health Sciences, 3(1), 106-110. https://doi.org/10.26650/JARHS2020-S1-0014


AMA

Sarıalioğlu F, Belen Apak F B. Pulmonary Intravascular Coagulation Pathogenesis in COVID-19 and Treatment Recommendations. Journal of Advanced Research in Health Sciences. 2020;3(1):106-110. https://doi.org/10.26650/JARHS2020-S1-0014


ABNT

Sarıalioğlu, F.; Belen Apak, F.B. Pulmonary Intravascular Coagulation Pathogenesis in COVID-19 and Treatment Recommendations. Journal of Advanced Research in Health Sciences, [Publisher Location], v. 3, n. 1, p. 106-110, 2020.


Chicago: Author-Date Style

Sarıalioğlu, Faik, and Fatma Burcu Belen Apak. 2020. “Pulmonary Intravascular Coagulation Pathogenesis in COVID-19 and Treatment Recommendations.” Journal of Advanced Research in Health Sciences 3, no. 1: 106-110. https://doi.org/10.26650/JARHS2020-S1-0014


Chicago: Humanities Style

Sarıalioğlu, Faik, and Fatma Burcu Belen Apak. “Pulmonary Intravascular Coagulation Pathogenesis in COVID-19 and Treatment Recommendations.” Journal of Advanced Research in Health Sciences 3, no. 1 (Apr. 2024): 106-110. https://doi.org/10.26650/JARHS2020-S1-0014


Harvard: Australian Style

Sarıalioğlu, F & Belen Apak, FB 2020, 'Pulmonary Intravascular Coagulation Pathogenesis in COVID-19 and Treatment Recommendations', Journal of Advanced Research in Health Sciences, vol. 3, no. 1, pp. 106-110, viewed 28 Apr. 2024, https://doi.org/10.26650/JARHS2020-S1-0014


Harvard: Author-Date Style

Sarıalioğlu, F. and Belen Apak, F.B. (2020) ‘Pulmonary Intravascular Coagulation Pathogenesis in COVID-19 and Treatment Recommendations’, Journal of Advanced Research in Health Sciences, 3(1), pp. 106-110. https://doi.org/10.26650/JARHS2020-S1-0014 (28 Apr. 2024).


MLA

Sarıalioğlu, Faik, and Fatma Burcu Belen Apak. “Pulmonary Intravascular Coagulation Pathogenesis in COVID-19 and Treatment Recommendations.” Journal of Advanced Research in Health Sciences, vol. 3, no. 1, 2020, pp. 106-110. [Database Container], https://doi.org/10.26650/JARHS2020-S1-0014


Vancouver

Sarıalioğlu F, Belen Apak FB. Pulmonary Intravascular Coagulation Pathogenesis in COVID-19 and Treatment Recommendations. Journal of Advanced Research in Health Sciences [Internet]. 28 Apr. 2024 [cited 28 Apr. 2024];3(1):106-110. Available from: https://doi.org/10.26650/JARHS2020-S1-0014 doi: 10.26650/JARHS2020-S1-0014


ISNAD

Sarıalioğlu, Faik - Belen Apak, FatmaBurcu. “Pulmonary Intravascular Coagulation Pathogenesis in COVID-19 and Treatment Recommendations”. Journal of Advanced Research in Health Sciences 3/1 (Apr. 2024): 106-110. https://doi.org/10.26650/JARHS2020-S1-0014



TIMELINE


Submitted20.04.2020
Accepted04.05.2020
Published Online15.05.2020

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