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Is therapeutic anticoagulation improving renal outcomes in COVID-19?
Roomi, Sohaib; Ullah, Waqas; Farooq, Soban; Saeed, Rehan; Haq, Shujaul; Ashfaq, Ammar Ali.
  • Roomi S; Department of Internal Medicine, Jefferson Health Abington, Abington, PA, USA.
  • Ullah W; Department of Internal Medicine, Jefferson Health Abington, Abington, PA, USA.
  • Farooq S; Department of Internal Medicine, King Edward Medical University, Lahore, Pakistan.
  • Saeed R; Department of Internal Medicine, Jefferson Health Abington, Abington, PA, USA.
  • Haq S; Department of Internal Medicine, Jefferson Health Abington, Abington, PA, USA.
  • Ashfaq AA; Department of Internal Medicine, Jefferson Health Abington, Abington, PA, USA.
J Community Hosp Intern Med Perspect ; 10(4): 306-309, 2020 Aug 02.
Artículo en Inglés | MEDLINE | ID: covidwho-725436
ABSTRACT
We present three patients with COVID-19 who developed acute renal failure during hospitalization and were seen to have an improvement in their kidney function after being started on therapeutic anticoagulation with heparin (Target PTT 58-93 seconds) for varying indications (atrial fibrillation, popliteal vein thrombosis and a pulmonary embolism). Their kidney functions improved significantly following anticoagulation with a clear temporal relationship between the former and latter. Anticoagulation was held for one patient due to concern of gastrointestinal bleeding and his kidney functions worsened a day after stopping anticoagulation. D-dimer levels also improved with anticoagulation but the trend of other inflammatory markers remained unpredictable.
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Texto completo: Disponible Colección: Bases de datos internacionales Base de datos: MEDLINE Idioma: Inglés Revista: J Community Hosp Intern Med Perspect Año: 2020 Tipo del documento: Artículo País de afiliación: 20009666.2020.1785995

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Texto completo: Disponible Colección: Bases de datos internacionales Base de datos: MEDLINE Idioma: Inglés Revista: J Community Hosp Intern Med Perspect Año: 2020 Tipo del documento: Artículo País de afiliación: 20009666.2020.1785995