UPDATE ON FAVOURABLE EFFECTS OF SYSTEMIC ANTI COAGULANTS IN COVID 19.

Dear my friends and fellow Colleagues, Here is an update on Systemic Anti Coagulants in Hospitalized COVID 19 patients. Use of Systemic Anticoagulation (Subcutaneous Heparin/LMWH/New Oral Anticoagulants/TPA) may improve chances of survival in patients hospitalised with COVID-19. A study of 3000 patients admitted in Mount Sinai Hospital, New York. JACC, May2020. Regards and thanks, Dr Sepuri Krishna Mohan.

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Can Aspirin75 once daily help prophylactically, Sir?
Dear Dr Partha Sarathi Sahana, So far the content about COVID 19 is true to that particular minute only. What all said and done about COVID 19 is based on trial and error method only. It takes at least more than 6 months to go retrospectively to document the facts regarding COVID 19. Coming to your query, may be you are hypothetically correct by giving 75 mg of ASA once daily prophylactically. The latest pathology behind COVID 19 is supposed to be DIC, Disseminated Intravascular Coagulation (Thrombosis). Never the less we can not R/O 1) Pulmonary Involvement in the form of Viral/Secondary Bacterial Pneumonia. 2) CV Causes like A) Acute Myocardial Infarction, STEMI or NON STEMI, usually asymptomatic B) Acute Heart Failure C) Acute Viral Myocarditis D) Acute Arrhythmias like VT/VF E) Acute Infective CMP F) Acute Cardiogenic Shock G) SCD, Sudden Cardiac Death H) Prolonged QTc interval May be because of COVID 19 Per Se OR Because of the drugs used to treat COVID 19 like HCQS Azithromycin 3) Cytokine Storm 4) Hepatic Causes 5) Renal Causes like ARF, Acute Renal Failure. Thanks again for your excellent interaction. Regards and thanks, Dr Sepuri Krishna Mohan.
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Useful n informative post
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Yes this is advocated by Italians also they found it thromboembolism or coagulation disorder responsible for deaths rather than pneumonitis Yes aspirin may be started in earliest reporting before setting in distress Also in asymptomatic cases before they manifest Thanx for nice updates
Thank you doctor
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Good update
Thank you doctor
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