Abstract
Purpose: Coronavirus disease 2019 (COVID-19) is a systemic inflammatory condition associated with coagulopathy which may result in severe thromboembolic complications. Cardiac injury is not uncommon in hospitalized COVID-19 patients and therefore we aimed to investigate whether it stems from an abnormal coagulative state.
Materials and methods: We conducted a retrospective cross-sectional study on consecutive patients hospitalized due to COVID-19. Traditional coagulation and whole blood rotational thromboelastometry tests were compared between patients with and without cardiac injury. Cardiac injury was defined by increased levels of high-sensitivity cardiac troponin I (hs-cTnI).
Results: The study population consisted of 104 patients (67% males, median age 65 years), of whom 40 (38%) developed cardiac injury. No clinical differences in the traditional coagulation parameters were observed between patients with and without cardiac injury. Thromboelastometry analysis revealed abnormal maximum clot firmness (MCF) levels in FIBTEM assay in 80 (77%) patients. No significant differences in MCF values (p = 0.450) and percentage of abnormal MCF (p = 0.290) were detected between patients with and without cardiac injury. Cardiac injury – not hypercoagulability – was associated with mortality (p = 0.016).
Conclusions: No differences in traditional coagulation and rotational thromboelastometry parameters were found among hospitalized COVID-19 patients with and without cardiac injury. Other mechanisms besides hypercoagulability may be a main culprit for cardiac injury in COVID-19 patients.
Keywords: COVID-19; Coronary thrombosis; Hypercoagulability; Rotational thromboelastometry; Troponin.
【저자키워드】 COVID-19, troponin., hypercoagulability, Coronary thrombosis, Rotational thromboelastometry, 【초록키워드】 coronavirus disease, Coronavirus disease 2019, Hospitalized, Mortality, thrombosis, troponin, cardiac troponin, Coagulation, Coagulopathy, cardiac injury, cross-sectional study, Whole blood, Patient, troponin I, Other, patients, mechanism, hypercoagulability, COVID-19 patients, hospitalized COVID-19 patient, Analysis, Injury, Coronary thrombosis, thromboembolic, significant difference, hospitalized COVID-19 patients, no significant differences, consecutive patients, study population, median age, no differences, material, thromboembolic complications, Retrospective cross-sectional study, parameter, males, systemic inflammatory, defined, conducted, Coronary, coagulation parameter, coagulative, consecutive patient, Traditional, 【제목키워드】 SARS-CoV-2, Patient,