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Evaluation of COVID-19 coagulopathy; laboratory characterization using thrombin generation and nonconventional haemostasis assays.

Danielle WhiteStephen MacDonaldTara EdwardsChris BridgemanMegan HaymanMegan SharpSally Cox-MortonEmily DuffSwati MahajanChloe MooreMelissa KirkRichard WilliamsMartin BesserWilliam Thomas
Published in: International journal of laboratory hematology (2020)
These results confirm increased fibrinogen and D-dimer in critical COVID-19-infected patients. Importantly, disease severity did not increase thrombin generation (including thrombin-antithrombin complexes and prothrombin fragment 1 + 2) when comparing both cohorts; counter-intuitively critical patients were hypocoaguable. tPA, TFPI and VEGF were increased in critical patients, which are hypothesized to reflect endothelial dysfunction and/or contribution of heparin (which may cause endothelial TFPI/tPA release).
Keyphrases
  • end stage renal disease
  • coronavirus disease
  • ejection fraction
  • sars cov
  • newly diagnosed
  • chronic kidney disease
  • endothelial cells
  • high throughput
  • vascular endothelial growth factor