How to Avoid Covid19 Severe Clinical Evolution?

Paulo Eduardo Ocke Reis; Leonardo Roever; Marcos Cesar Braga Lima; Carlos Lenin Jaramillo Cueva

doi:10.21767/2573-4482.20.05.14

How to Avoid Covid19 Severe Clinical Evolution?

Paulo Eduardo Ocke Reis, Leonardo Roever, Marcos Cesar Braga Lima and Carlos Lenin Jaramillo Cueva

Published Date: 2020-07-01
DOI10.21767/2573-4482.20.05.14

Paulo Eduardo Ocke Reis^1*, Leonardo Roever², Marcos Cesar Braga Lima³ and Carlos Lenin Jaramillo Cueva⁴

¹Department of Specialized and General Surgery, Fluminense Federal University, Rio de Janeiro, Brazil

²Department of Clinical Research, Federal University of Uberlândia, Brazil

³Especialista em Cardiologia pela Universidade Federal Fluminense, Rio de Janeiro, Brazil

⁴Especialista em Angiologia e Cirurgia Vascular, Universidad Central del Ecuador, Quito, Ecuador

*Corresponding Author:: Paulo Eduardo Ocke Reis
Department of Specialized and General Surgery
Fluminense Federal University, Rio de Janeiro, Brazil
Tell: +55 21 2629-5000
E-mail: edende0@uky.edu

Received Date: June 16, 2020; Accepted Date: June 24, 2020; Published Date: July 01, 2020

Citation: Ocke Reis PE, Leonardo R, Marcos Cesar BL, Carlos Lenin JC (2020) How to Avoid Covid19 Severe Clinical Evolution? J Vasc Endovasc Ther. Vol. 5 No. 3: 14.

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COVID-19 infection was first described associated with respiratory syndrome and elevated mortality worldwide of a specific group of patients, understanding the cause of coronavirus severe illness complications, remains the cornerstone of efforts to provide better approach and appropriated reduce mortality rate [1]. We proposed a change in the CHADS-VASC score (Table 1) [2], including one point for Covid-19 at the score, and, thus, indicating the necessity of prophylaxis with anticoagulant therapy [2]. Patients who respond Covid-19 infection with severe clinical evolution has the same comorbidities of CHADS-VASC. It has been shone the pulmonary impairment due to thrombosis [2,3]. Now we propose an algorithm to demonstrate the flow chart that must follow each group of patient’s suspected or carriers of Covid 19, to reduce in hospital mortality (Figure 1).

Figure 1: Algorithm of anticoagulation, in patients with strong suspicion or positive Covid [2-8].

Table 1 Classic CHA2DS2-VASC. Adding one point CHA2DS2-VASC-C 19.2 TIA- Transient Ischemic Attack.

CHA2DS2-VASC	CLINICAL SYMPTOMS	SCORE
C	Heart Failure	1
H	Hypertension	1
A2	Age (≥75)	2
D	Diabetes Mellitus	1
S2	History of stroke (TIA)	2
V	Peripheral Vascular Disease	1
A	Age (65-74)	1
C	Suspected or carriers of Covid-19	1

So in this scenario, seeing beyond, with the modified Score CHADS-VASC-C19 2 and algorithm for prophylaxis of Covid-19 pulmonary vascular thrombosis, step by step, we follow-up each group of patient’s suspected or carriers of Covid 19 [2-8] (Figure 1).

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