Alert date November 21, 2022

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Harlan Krumholz, a cardiologist at the Yale School of Medicine, says he worries about two kinds of long COVID-19.

There’s the obvious version where people suffer prolonged virus symptoms like fatigue, and a stealthier version in which people recover yet carry an added risk of blood clots and strokes.

He doesn’t want to panic people — most of us will probably be fine. But new studies confirm that some will develop an elevated risk of blood clots, strokes or heart attacks. Given that most people have had COVID-19 by now, everyone should be more vigilant about the early warning signs such as chest pain, unusual swelling, numbness, weakness or sudden changes in balance, speech or vision.

The study also showed that those who got infected but were not sick enough to be hospitalized were still 10 times more likely to die of any cause during the study period than their uninfected counterparts. People who’d been hospitalized for COVID-19 were about 100 times more likely to die during the study period.

Scary reports started to surface in the spring of 2020 of young people suffering deadly strokes during or right after a COVID-19 infection. Doctors were starting to suspect COVID-19 was not just a respiratory disease but a blood vessel disease. Larger studies now back up their suspicions and showed that COVID-19 infections elevated everyone’s risk. That explained why younger people who should have had almost no risk were showing up with strokes, but they were just the tip of the iceberg. Patients who already smoked or had high blood pressure or diabetes went from high risk to even higher.

One recent study, published in the journal Heart — associated with the British Medical Journal — tracked 54,000 people in the U.K. for four and a half months and concluded that those who’d been infected were 2.7 times more likely to develop venous thromboembolism — a dangerous type of blood clot — than those who had never been infected.

Another new study published in Neurosurgery focused on the period when people were actively infected, and concluded that COVID-19 infection was associated with strokes — and that strokes that occurred in infected people were likely to be more severe and harder to treat with surgery.