SINGAPORE: Doctors in Singapore have been advised to be “watchful” for cardiovascular symptoms in COVID-19 patients, with “emerging data” globally about the increased risks of blood clots and heart disease in such patients.
In May, four COVID-19 cases who died were not added to the official death toll because they died of heart issues, rather than the disease, MOH said. These four men died in the first two weeks of May.“Only cases where the attending doctor or pathologist attributes the primary or underlying cause of death as due to COVID-19 infection will be added to the COVID-19 death count.
For such cases, doctors in Singapore take “extra precautions”, including monitoring the patients’ coagulation status or the propensity for the blood to clot.“However, use of anti-coagulants must be weighed against the risk of bleeding, and our doctors will decide on a case by case basis,” Mr Gan said.
He had been admitted to Khoo Teck Puat Hospital on Apr 29 and treated for a heart attack, MOH said. He tested positive for the coronavirus on the same day he was admitted to hospital. “The cause of death is ruptured myocardial infarction due to coronary thrombosis,” the health ministry said.
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