Cardiovascular & hematological disorders drug targets · 2021
Post-Discharge Prophylactic Anticoagulation in COVID-19 Patients: A Clinical Dilemma.
Клинический случайСтатьяНазвание и аннотация: Перевод в очереди
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Yadav Prakrati, Kumar Deepak, Meena Durga S, Midha Naresh K, Bohra Gopal K, Garg Mahendra K, Purohit Abhishek H L
Аннотация
BACKGROUND: COVID-19 pandemic has taken a great toll on the health care system worldwide. Along with the pandemic, there is also a concern regarding post COVID-19 complications in recovered patients. Thromboembolism (TE) has been reported as a fatal complication in recovered patients with COVID-19. There is still a great dilemma in post-discharge TE prophylaxis and its long-term benefits.
CASE DESCRIPTION: We reported three cases of post COVID-19 with complications related to both diseases as well as post discharge anticoagulant therapy. The first case is about a 60-yr-old male who developed Covid-19 pneumonia (moderate disease) and was discharged on rivaroxaban after initial improvement. 3 weeks later, the patient was readmitted with lower gastro-intestinal bleeding. The other two cases developed pulmonary thromboembolism within a span of 2-3 months (after recovered from COVID-19 pneumonia). Both these patients were not prescribed anticoagulants for TE prophylaxis.
CONCLUSION: There is an imperative need for effective guidelines for post discharge TE prophylaxis in COVID-19.
CASE DESCRIPTION: We reported three cases of post COVID-19 with complications related to both diseases as well as post discharge anticoagulant therapy. The first case is about a 60-yr-old male who developed Covid-19 pneumonia (moderate disease) and was discharged on rivaroxaban after initial improvement. 3 weeks later, the patient was readmitted with lower gastro-intestinal bleeding. The other two cases developed pulmonary thromboembolism within a span of 2-3 months (after recovered from COVID-19 pneumonia). Both these patients were not prescribed anticoagulants for TE prophylaxis.
CONCLUSION: There is an imperative need for effective guidelines for post discharge TE prophylaxis in COVID-19.