COVID-19: Thromboserisiko und Antikoagulationsmanagement

Bereits früh im Verlauf der COVID-19-Pandemie wurde eine Häufung von Thromboembolien bei schwer an COVID-19 erkrankten Patienten beobachtet. In frühen Berichten über Patienten aus Wuhan und aus New York wurde ein Zusammenhang zwischen erhöhten D-Dimeren und der Wahrscheinlichkeit, an der Erkrankung zu versterben, beobachtet.

Kernaussagen

• COVID-19 wird durch eine Infektion mit SARS-CoV-2 ausgelöst und kann unterschiedlich schwer verlaufen.

• Die Erkrankung geht mit einem erhöhten Risiko für Thromboembolien, aber auch für Blutungen einher.

• Die Diagnose und die Therapie von schweren Thromboembolien unterscheidet sich bei COVID-19 nicht von anderen Krankheitsbildern.

• Patienten, die stationär behandelt werden, sollten in der Regel eine medikamentöse Thromboembolieprophylaxe erhalten.

• Eine therapeutische Antikoagulation ist nur in Ausnahmefällen und bei spezifischer Indikation (z. B. Lungenembolie oder Vorhofflimmern) indiziert.

Schlüsselwörter

COVID-19 - Thromboembolieprophylaxe - Antikoagulation - Lungenembolie

Publikationsverlauf

Artikel online veröffentlicht:
06. Dezember 2022

• Literatur

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