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COVID-associated ischemic stroke

https://doi.org/10.30629/0023-2149-2020-98-5-375-377

Abstract

Generalization of the fi rst results of treatment of victims of coronavirus infection showed that the development of ischemic stroke in such patients is very likely. An analysis of the few available publications that mention the problem of COVID-associated ischemic stroke has shown that cerebral ischemia can be associated with infl ammation of large arteries and coagulopathy. Anticoagulation with low-molecular-weight heparins should be considered the most eff ective way to prevent a particular pathogenetic subtype of ischemic stroke.

About the Author

E. A. Shirokov
Military medical Academy S.M. Kirova, Moscow branch
Russian Federation

Evgenii A. Shirokov — MD, PhD, DSc, prof.

107392, Moscow



References

1. Mozaff arian D., Benjamin E., Go A.et al. Heart Disease and Stroke Statistics — 2016 Update. Circulation. 2016;133(4):38–360.

2. Mao L., Jin H., Wang M. et al. Neurologic Manifestations of Hospitalized Patients With Coronavirus Disease 2019 in Wuhan, China. JAMA Neurol. 2020;77(6):1--9.

3. McNamara D. COVID-19 Linked to Large Vessel Stroke in Young Adults. 2020. https://www.medscape.com/viewarticle/929345?src=wnl_edit_tpal&uac=296430PX&impID=2359734&faf=1. JAMA Neurol. doi:10.1001/jamaneurol.2020.1127 PublishedonlineApril10,2020.

4. Powers W., Rabinstein A., Ackerson T. et al. 2018 Guidelines for the early management of patients with acute ischemic stroke. A Guideline for healthcare professionals from the American Heart Association/American Stroke Association. Stroke. 2018;49. doi: 10.1161/ STR.0000000000000158.

5. Tang N, Li D, Wang X, Sun Z. Abnormal coagulation parameters are associated with poor prognosis in patients with novel coronavirus pneumonia. J. Thromb. Haemost. 2020;18:844–7.

6. Zucker D., Zucker B. Published online April 21, 2020. https://doi. org/10.1016/S0140-6736(20)30926-0.

7. Cuker A., Peyvandi L. Coronavirus disease 2019 (COVID-19): Hypercoagulability. This topic last updated: Apr 29, 2020. https://www. uptodate.com/contents/coronavirus-disease-2019-covid-19-hypercoagulability?fbclid=IwAR0swwtIFghGPtI-p7Hjwse58R67p6NmY36PUerS7IZ4k0nEqgFPHmMO2xI.

8. Fuchs N.A., Brill A., Wagner D.D. Neutrophil extracellular trap (net) impact on deep vein thrombosis. Arterioscler. Thromb. Vasc. Biol. 2012;32(8):1777–83.


Review

For citations:


Shirokov E.A. COVID-associated ischemic stroke. Clinical Medicine (Russian Journal). 2020;98(5):375-377. (In Russ.) https://doi.org/10.30629/0023-2149-2020-98-5-375-377

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ISSN 0023-2149 (Print)
ISSN 2412-1339 (Online)