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Glushkov N.I.

Mechnikov North-Western State Medical University

Fadeeva E.A.

Mechnikov North-Western State Medical University

Gorsky A.G.

Mechnikov North-Western State Medical University

Ivanov M.A.

Mechnikov North-Western State Medical University

Kamenskaya A.E.

Mechnikov North-Western State Medical University

Acute limb ischemia in patients with COVID-19

Authors:

Glushkov N.I., Fadeeva E.A., Gorsky A.G., Ivanov M.A., Kamenskaya A.E.

More about the authors

Journal: Russian Journal of Cardiology and Cardiovascular Surgery. 2023;16(3): 267‑271

DOI: 10.17116/kardio202316031267

Views: 1467

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Table of contents

ACUTE LIMB ISCHEMIA IN PATIENTS WITH COVID-19
ACUTE LIMB ISCHEMIA IN PATIENTS WITH COVID-19

To cite this article:

Glushkov NI, Fadeeva EA, Gorsky AG, Ivanov MA, Kamenskaya AE. Acute limb ischemia in patients with COVID-19. Russian Journal of Cardiology and Cardiovascular Surgery. 2023;16(3):267‑271. (In Russ.)
https://doi.org/10.17116/kardio202316031267

Подписка 2025-2 (Russian Journal of Cardiology and Cardiovascular Surgery)
 
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OBJECTIVE

To identify predictors of acute limb ischemia (ALI) in patients with the novel coronavirus infection (COVID-19) pneumonia.

MATERIAL AND METHODS

Our study included 136 patients with COVID-19 pneumonia. Patients of the main group (n=18) had ALI caused by arterial thrombosis, patients of the control group (n=118) did not have this complication. We analyzed age of patients, features of comorbidities, characteristics of peripheral artery disease, severity of COVID-19, clinical outcomes and combinations of arterial and venous thrombosis. Laboratory biomarkers, coagulation panel and complete blood count were also evaluated.

RESULTS

Severe course of COVID-19 is essential in acute limb ischemia. There were associations between lung lesions CT grade 3-4 and ALI. Predisposing laboratory biomarkers for thrombotic complications were high serum D-dimer, C-reactive protein and ferritin.

CONCLUSION

Acute limb ischemia is common in severe course of COVID-19. This complication occurs on the background of preexisting cardiovascular pathology, metabolic disorders and venous thrombotic events.

Keywords:

novel coronavirus infection (COVID-19)
acute limb ischemia
complications
risk factors
pathogenesis

Authors:

Glushkov N.I.

Mechnikov North-Western State Medical University

Fadeeva E.A.

Mechnikov North-Western State Medical University

Gorsky A.G.

Mechnikov North-Western State Medical University

Ivanov M.A.

Mechnikov North-Western State Medical University

Kamenskaya A.E.

Mechnikov North-Western State Medical University

Received:

19.04.2022

Accepted:

07.06.2022

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