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Core program for assessing complications of covid 19 infection
With a COVID-19 infection, a very intense inflammatory response begins in the body. Many cytokines are "launched" to fight the virus, i.e. substances that try to speed up the virus elimination process. This virus is dangerous and deceptive, and its course is unpredictable.
Thrombosis is one of the complications of the COVID-19 disease, as an increase in blood clotting factors is observed in patients with this disease. Older age, obesity, smoking, cardiovascular diseases, hypertension, chronic bronchitis, active oncological disease, diabetes are associated with an increased risk of thromboembolism. Recommended tests: D-Dimer and coagulation tests (PT/INR and APTT).
People with heart disease are more affected by the coronavirus, but it can also damage the hearts of people without heart disease. Cardiologists detect heart damage by performing the following blood tests: troponin, high-sensitivity CRB, lipidogram, apolipoproteins A1 and B, NT-ProBNP, and ST2 (a biomarker of heart failure).
The SARS-CoV-2 virus damages the ACE2 receptors, which causes the kidneys to continuously excrete potassium in the urine. Mild hypokalemia (lack of potassium in the body) usually has no symptoms, but more severe - causes weakness, fatigue, leg cramps, constipation. As potassium levels decrease, the risk of cardiac arrhythmias and other cardiovascular diseases increases. Progressive disorder of micronutrient metabolism disrupts not only cardiovascular, but also neurohormonal and other body systems. Recommended tests: BKT, potassium, sodium, calcium, magnesium, zinc, ferritin, albumin, total protein, urea, creatinine, ALT, AST, bilirubin, P.amylase, lipase, HbA1C, B12, folic acid.
The disease of COVID-19 can also cause secondary bacterial infections and sepsis. Recommended tests: procalcitonin and CRB.
According to scientists, vitamin D improves the innate immune response, so it has been proven that patients with lower levels of vitamin D in their blood have higher mortality rates from COVID-19 disease. Recommended tests: vitamin D level in the body. Some diseases of the kidneys, liver, and digestive tract make it difficult to absorb vitamin D, so after taking supplements for 2-3 months, it would be worth repeating the test (no earlier than 2-3 weeks after the last dose of supplements).
14-20 days after the relapse of the COVID-19 disease, SARS-CoV-2 antibody tests are recommended to assess the immune response and the resulting immunity.
The program consists of 28 studies:
General blood test
CRB | C reactive protein
PT/INR | Determination of blood coagulation indicators
ADTL/APTT | Activated partial thromboplastic time
Determination of D-Dimers
Well | Sodium
Ca | Calcium
Mg | Magnesium
Zn | Zinc
ALB | Albumin
TP | Total protein
Urea | Urine
CREA | Creatinine
ALT | Alanine transaminase
AST | Aspartic transaminase
BIL-T | Total bilirubin
BIL-D | Direct bilirubin
LIP | Lipase
P-AMYL | Pancreatic amylase
HbA1c Glycosylated hemoglobin
Vitamin B9 | Folic acid
FERRY | Ferritin