Table 1.
Clinical features of endothelial dysfunction and microvascular thrombosis in COVID-19 infection
Clinical manifestations | Associated clinical features |
---|---|
I. Microvascular lung thrombosis | Signs and symptoms resembling those of pulmonary embolism |
II. Venous thromboembolism | |
Pulmonary embolism | Tachycardia, dyspnea, syncope, chest pain or discomfort, hemoptysis, fever, dizziness, sweating |
Deep vein thrombosis | Pain, swelling, warmth, red or discolored skin on the extremities |
Cerebral venous thrombosis | New-onset headache or isolated intracranial hypertension |
III. Arterial events | |
Cerebrovascular disease |
Large-vessel occlusion Intracerebral hemorrhage CNS vasculitis |
Cardiovascular disease | Elevated troponin, symptoms of cardiomyopathy |
Acute limb ischemia | Pain, pallor, pulselessness, paresthesia, perishingly cold, paralysis |
IV. Other | |
Renal disease | Elevated creatinine, proteinuria |
V. Neurological complications | |
Indirect events through systemic response | Encephalopathy, headaches, psychotic symptoms, de novo seizures or status epilepticus, myopathy |
Direct nervous system invasion |
Anosmia/ageusia Encephalitis/meningoencephalitis |
Postinfectious/immune-mediated |
Guillain-Barré syndrome, Miller Fisher syndrome Acute necrotizing encephalopathy Acute disseminated encephalomyelitis |