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Article ; Online: Fibrinolysis Shutdown in COVID-19: Clinical Manifestations, Molecular Mechanisms, and Therapeutic Implications.

Meizoso, Jonathan P / Moore, Hunter B / Moore, Ernest E

Journal of the American College of Surgeons

2021  Volume 232, Issue 6, Page(s) 995–1003

Abstract: ... of fibrinolysis shutdown in COVID-19 and its associated outcomes, review the molecular mechanisms of dysregulated ... fibrinolysis associated with COVID-19, and discuss potential implications and therapeutic targets for patients ... resulting in a profoundly prothrombotic state, is a distinct feature of COVID-19 and is accentuated ...

Abstract The COVID-19 pandemic has introduced a global public health threat unparalleled in our history. The most severe cases are marked by ARDS attributed to microvascular thrombosis. Hypercoagulability, resulting in a profoundly prothrombotic state, is a distinct feature of COVID-19 and is accentuated by a high incidence of fibrinolysis shutdown. The aims of this review were to describe the manifestations of fibrinolysis shutdown in COVID-19 and its associated outcomes, review the molecular mechanisms of dysregulated fibrinolysis associated with COVID-19, and discuss potential implications and therapeutic targets for patients with severe COVID-19.
MeSH term(s) Blood Coagulation Disorders/etiology ; Blood Coagulation Disorders/therapy ; Blood Coagulation Disorders/virology ; COVID-19/blood ; COVID-19/complications ; Fibrinolysis ; Humans ; Thrombophilia/etiology ; Thrombophilia/therapy ; Thrombophilia/virology
Language English
Publishing date 2021-03-22
Publishing country United States
Document type Journal Article ; Review
ZDB-ID 1181115-8
ISSN 1879-1190 ; 1072-7515
ISSN (online) 1879-1190
ISSN 1072-7515
DOI 10.1016/j.jamcollsurg.2021.02.019
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