Coronavirus patients experience dangerous blood clots and strokes, and blood thinners may lower risk of death, experts say
Blood samples from patients infected with the coronavirus disease are prepared for analysis as part of the TACTIC-R trial, in the Blood Processing Lab in the Cambridge Institute of Therapeutic Immunology and Infectious Disease, in Cambridge, Britain May 21, 2020.
“You’ve had two strokes,’’ a neurologist told her at the hospital. The Hopkinton, New Hampshire, mother of three is only 43. “I have to be humble and say I don’t know what’s going on there, but boy we need to find that out because unless you know what the pathogenic mechanism is, it’s going to be tough to do intervention,” Dr Anthony Fauci, the nation’s top infectious disease expert, remarked during a medical journal interview last month.
“Covid-19 is the most thrombotic disease we’ve ever seen in our lifetime,” said Dr Alex Spyropoulos, a clot specialist and professor at Feinstein Institutes for Medical Research in Manhasset, New York. Prevalence in patients with mild disease is unknown and the agency says there isn’t enough evidence to recommend routine clot screening for all virus patients without clotting symptoms, which may include swelling, pain or reddish discoloring in an arm or leg.Spyropoulos said that’s been true at his 23-hospital system in the New York City area, Northwell Health, which has treated over 11,000 Covid-19 patients.
In guidance issued May 12, the NIH said more research is needed to show whether that approach has any benefits.
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