COVID-19-Related Stroke.

Abstract:

:The COVID-19 pandemic is associated with neurological symptoms and complications including stroke. There is hypercoagulability associated with COVID-19 that is likely a "sepsis-induced coagulopathy" and may predispose to stroke. The SARS-CoV-2 virus binds to angiotensin-converting enzyme 2 (ACE2) present on brain endothelial and smooth muscle cells. ACE2 is a key part of the renin angiotensin system (RAS) and a counterbalance to angiotensin-converting enzyme 1 (ACE1) and angiotensin II. Angiotensin II is proinflammatory, is vasoconstrictive, and promotes organ damage. Depletion of ACE2 by SARS-CoV-2 may tip the balance in favor of the "harmful" ACE1/angiotensin II axis and promote tissue injury including stroke. There is a rationale to continue to treat with tissue plasminogen activator for COVID-19-related stroke and low molecular weight heparinoids may reduce thrombosis and mortality in sepsis-induced coagulopathy.

journal_name

Transl Stroke Res

authors

Hess DC,Eldahshan W,Rutkowski E

doi

10.1007/s12975-020-00818-9

subject

Has Abstract

pub_date

2020-06-01 00:00:00

pages

322-325

issue

3

eissn

1868-4483

issn

1868-601X

pii

10.1007/s12975-020-00818-9

journal_volume

11

pub_type

信件
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