Ischemic stroke as a consequence of coagulopathy in coronavirus disease

Authors

  • H.S. Trepet Bogomolets National Medical University, Kyiv, Ukraine
  • L.M. Trepet MNPE “Oleksandrivska Clinical Hospital”, Kyiv, Ukraine
  • Ya.A. Havryliuk Bogomolets National Medical University, Kyiv, Ukraine

DOI:

https://doi.org/10.22141/2224-0713.17.2.2021.229891

Keywords:

ischemic stroke, coronavirus disease, D-dimer, neurologic deficit, C-reactive protein

Abstract

Objective: to compare the state of the coagulation system in patients with ischemic stroke and coronavirus disease in those with ischemic stroke without coronavirus disease. Materials and methods. We examined 40 patients in the acute period of cerebral ischemic stroke, aged from 69 to 87 years (average age of 77.30 ± 2.08 years). They were divided into two groups: group I — SARS-CoV-2-positive, group II — SARS-CoV-2-negative. Group I consisted of 20 individuals (9 women and 11 men) aged 69 to 84 years (average age of 76.9 ± 3.0 years). Group II included 20 patients (10 women and 10 men) aged 72 to 87 years (average age of 78.5 ± 2.5 years). Results. Twelve (60 %) patients of group I had a moderate disease severity, 8 (40 %) — severe. The severity of neurologic deficits on the National Institutes of Health Stroke Scale did not differ significantly in patients of both clinical groups: in group I it was 14.0 ± 0.7 points, in group II — 10.00 ± ± 1.37 points, which corresponded to moderate stroke, the significance level p = 0.05. In the neurological status, motor and sensory deficits were observed in both groups in combination with speech disorders and ataxia. The average level of prothrombin index in group I was 101 ± 6 %, in II — 83 ± 2 %, p = 0.01. The level of fibrinogen in group I was 401.0 ± 18.6 mg/dl, in group II — 250 ±
± 12 mg/dl, which can lead to temporary hypercoagulation and the development of thromboembolism (p < 0.05). In group I, the level of D-dimer was 465 ± 8 ng/ml, in group II — 175 ± 4 ng/ml
(p < 0.05). Conclusions. The data suggest that SARS-CoV-2-posi-tive patients with ischemic stroke compared to SARS-CoV-2-ne-gative ones with ischemic stroke are characterized by the presence of coagulopathy, as evidenced by significantly higher levels of fibrinogen, prothrombin index, D-dimer and moderate thrombocytopenia, as well as significantly higher levels of C-reactive protein that indicates the presence of an acute inflammatory process, which also causes thrombosis.

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Published

2021-11-15

How to Cite

Trepet, H., Trepet, L., & Havryliuk, Y. (2021). Ischemic stroke as a consequence of coagulopathy in coronavirus disease. INTERNATIONAL NEUROLOGICAL JOURNAL, 17(2), 25–30. https://doi.org/10.22141/2224-0713.17.2.2021.229891

Issue

Section

Original Researches

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