Health
Cases of stroke associated with Covid-19 have encouraged physicians to prescribe anticoagulants long after discharge. Pune News
The new virus mainly affects the lungs, but experts said it was causing the thrombosis that caused the stroke.
Doctors said new concerns about these strokes led them to prescribe anticoagulants for a considerable period of time after discharge.
Patients with other viral infections, including bacterial illnesses such as seasonal influenza and TB, may also develop a risk of stroke due to vascular inflammation, but at a lower number than Covid-19. According to experts, this is characterized by “excessive coagulation” due to inflammation of blood vessels.
Neuropathologist Rajas de Spandan, with Jupiter Hospital, said: And when these blood clots block blood circulation in the brain, they are called strokes. I have treated several patients with this problem. “
Stroke has two main causes. Occlusion of an artery (ischemic stroke) or rupture of a blood vessel (hemorrhagic stroke).
“There have been 12 strokes in Covid-19 patients so far,” said Prasad Rajhans and Balasaheb Pawar, an intensive care physician at Deenanath Mangeshkar Hospital. “The stroke event is ischemic. No one had a hemorrhagic stroke. Most people had some risk factors, but there were young patients with no known condition.”
Rajhans said: “Both brain and heart events are occurring, but the number of strokes is slightly higher. I have been prescribing anticoagulants in these patients for about a month or more after discharge. .”
The doctor added that the blood is a younger patient who may be more prone to thrombosis or thrombosis (hypercoagulation). “These patients are relatively young and there are no other known risk factors that can cause stroke,” Rajans said.
Simultaneous attacks of Covid-19 pneumonia and organ damage can complicate stroke management. Low oxygen levels also worsen the severity of brain damage.
Doctors said that some patients had strokes after a full recovery. “This is because the damage to the lining of the blood vessels during Covid infection caused blood clots to complete only after a few days, which could lead to a stroke,” Deshpande said.
“Even with the abnormal heart rhythms caused by myocarditis, myocardial inflammation can cause blood clots for weeks after the infection subsides. Such blood clots cause post-Covid stroke. “
But doctors said anticoagulants should be used with caution. “Blood thinner can be dangerous and should be used with caution. If needed, it may be used for months after discharge, depending on existing medical conditions,” Deshpande said.
The problem of developing thrombosis in asymptomatic or mild patients has not been studied so far.
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