The Composition and Physical Properties of Clots in COVID-19 Pathology

S. Dauwerse, H. ten Cate, H.M.H. Spronk, M. Nagy*

*Corresponding author for this work

Research output: Contribution to journal(Systematic) Review article peer-review

Abstract

Hemostasis is a finely tuned process of which dysregulation can lead either to bleeding or thrombotic complications. The latter is often caused by the hypercoagulable state as it is also seen in patients with severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection, i.e., in COVID-19 patients. COVID-19 patients requiring hospitalization often suffer from thrombotic events that could not be predicted using routine coagulation assays. Recently, several studies have reported ROtational ThromboElastoMetry (ROTEM) as a promising tool to predict outcomes in COVID-19 patients. In this review we give an overview of ROTEM with a particular focus on the interpretation of the symmetrical clot formation curve in relation to coagulopathy in COVID-19 patients. Furthermore, we have introduced new parameters that might help to better distinguish between COVID-19 patients and outcomes.
Original languageEnglish
Article number580
Number of pages10
JournalDiagnostics
Volume12
Issue number3
DOIs
Publication statusPublished - 1 Mar 2022

Keywords

  • COVID-19
  • hypercoagulability
  • ROTEM
  • FACTOR PATHWAY INHIBITOR
  • ASSESS HYPERCOAGULABILITY
  • PLATELET
  • ACTIVATION
  • SECRETION
  • TIME

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