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Published on: Apr 28, 2020
4 minute read
By: Dr Rajan Choudhary

Strokes In The Young And How COVID Causing Clotting Disorders?

Strokes in the young and healthy: how is COVID causing clotting disorders?

In the news, there has been a rush in stories linking Strokes in young and healthy patients, patients who also have COIVD-19. This is certainly worrying news, and at first glance, it is difficult to explain. How does a respiratory virus, one that is very similar to the coronavirus responsible for the common cold, cause such serious issues in a completely unrelated organ system? In this two-part series we will first go over the basics of clotting and its function, how clotting can cause problems, and finally how COVID can lead to clotting disorders.

STROKES

Before we progress, if you or a family member are having any of the following symptoms, contact your local emergency services immediately. Strokes can be devastating, and treatment needs to be given as soon as possible to save as much of the brain as we can. Early recognition can be the difference between manageable long term effects and crippling disability.

Remember, act F.A.S.T

Facial Droop on one side
Arm or hand on one side feels numb or weak with reduced power (same in one leg)
Slurred speech making it difficult to understand
Time to phone an ambulance

Other symptoms can include sudden loss in balance, sudden loss in vision in one eye, problems swallowing, and more.

PLUGGING A HOLE

We have an intricate network of vessels to transport oxygen, nutrients, and signals to cells and organs across our bodies. Damage to these blood vessels causes blood loss, reduction in oxygen and nutrient delivery to these cells, and organ damage if the issue isn’t rectified. Failure in multiple organ systems across the body will eventually lead to death. Our blood has cells and proteins that work together to form a clot at the site of injury. This acts as a plug to physically stop the leak, but also encourages repair of the blood vessel and surrounding tissue.

A clot can be triggered in three different ways: blood stasis (pooling up in one area), exposure of blood vessel lining, and pro-coagulant factors released into the blood. When triggered a coagulation cascade occurs to form the building blocks of a clot – it works so well that even a small trigger can create a response big enough to repair the damage. These form a mesh trapping platelets and other blood cells into a plug. Immune cells also arrive to destroy any organisms that might enter from the trauma site that caused the injury, and these immune cells also instruct nearby cells to begin the repair process.

As with everything in our body the whole process is very tightly regulated. The cascade has triggers and accelerators, but it also has brakes. These brakes stop a clot from growing too big, or from clots forming spontaneously when they are not needed. They also help dissolve a clot once the vessel is repaired and it isn’t needed.

WHEN IT GOES WRONG

Heart attacks and strokes. These devastating cardiovascular diseases are well recognized by the public as a leading cause of disability and death. Both can be caused by abnormal clotting. How does our finely tuned clotting cascade turn abnormal? Let's go back to the three triggers of blood clotting.

Vessel damage: Eating a high fat and cholesterol diet can cause fatty plaques to build up in our arteries. This is known as atherosclerosis, and it is extremely common. The plaques can narrow your arteries and reduce blood flow. If this happens in your coronary arteries supplying your heart muscles, your heart might not receive enough oxygen when you exercise or exert yourself. This can cause chest pain, known as angina.

If the plaques burst open it can expose the vessel lining, causing a large clot to form. This clot can become dislodged and be carried away by the blood. It will eventually get lodged in a narrow artery, blocking it and stopping blood from entering. The tissue and cells supplied by that artery will not receive oxygen and eventually die. If this happens in the coronary arteries it can cause a heart attack. In the arteries supplying the brain, it can cause a stroke, leading to neurological deficits.

THIS IS THE MOST IMPORTANT LEARNING POINT, and this is why a healthy diet low in fat and sugars is so important.

Stasis: Our heart pumps blood at high pressures through the arteries. But in the veins, there is very little pressure to drive the blood back to the heart. In our arms and head, gravity helps blood flow down to the heart. But from our legs? When we walk the muscles in our legs squeeze the veins and move the blood. Valves make sure this flow is only one way, back to the heart.

If we sit or lie down in one place and don’t move, the blood isn’t pumped back and pools up in our legs, causing a clot to form. This usually happens in our calves (known as a DEEP VEIN THROMBOSIS, or DVT). The calf becomes swollen, painful, red, and hot. If this clot is dislodged, it can end up in our lungs causing a PULMONARY EMBOLISM. A large PE can block blood from entering the lungs and can be fatal. This is why you should take regular walks on long haul flights, to prevent blood from pooling.

Pro-coagulant: Sometimes the factors in our blood responsible for triggering a clot can be triggered accidentally. Cigarette smoke contains many toxins and harmful chemicals that, when inhaled, end up in your blood. These chemicals can cause damage to vessel linings, and also cause the clotting cascade to be triggered more easily. Some medications, such as the Combined Oral Contraceptive Pill, also have a similar effect, though the risk of getting a clot is still very low.

The immune system can also trigger a clot. The protein mesh formed in the blood can also capture bacteria and viruses around an infection site, making it easier for immune cells to find and destroy these invading organisms. In cancer patients, this process is sometimes triggered by unregulated cancer cells.

WHAT HAVE WE LEARNT?

Our clotting system stops us from bleeding to death from a small wound. People who have bleeding disorders are clear examples and need to be extremely careful if they injure themselves. But unregulated, our body can end up harming itself. If there is one thing you should take away from this, it is that a high sugar/high-fat diet with little exercise can directly increase your risk of having a heart attack or stroke. This is why doctors emphasize so much the importance of a good diet and exercise.

In our next blog, we will look at how this clotting problem is implicated in COVID patients.

Dr Rajan Choudhary, UK, Chief Product Officer, Second Medic Inc

www.secondmedic.com

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Virtual Clinic India: How SecondMedic Is Transforming Digital Healthcare

Healthcare in India is undergoing a significant transformation as digital platforms reshape how people access medical care. Virtual clinics have emerged as a powerful solution, offering patients immediate access to doctors, diagnostics, prescriptions, and continuous monitoring—without the need for physical hospital visits. This model has become increasingly important in a country where population density, geographical barriers, and long wait times often make healthcare inaccessible or inconvenient.

A virtual clinic uses telemedicine, digital records, online diagnostics, AI tools, and remote monitoring to offer a full healthcare experience through smartphones or computers. SecondMedic is among the leaders in this space, providing a robust virtual clinic ecosystem designed to support preventive health, chronic disease management, and immediate care for everyday medical needs.

The Role of Virtual Clinics in India’s Healthcare Evolution

India faces significant challenges including uneven specialist distribution, crowded hospitals, and rising lifestyle diseases. Virtual clinics bridge these gaps by making healthcare more accessible, affordable, and continuous. They enable patients from metropolitan areas, rural communities, and even remote regions to receive quality care without leaving home.

Key drivers behind virtual clinic growth include:

Growing smartphone and internet penetration
Increased comfort with digital health platforms
The need for safe and convenient care
Rising chronic illnesses requiring ongoing monitoring
Awareness of preventive healthcare

As a result, virtual clinics are becoming the first point of contact for many health concerns.

How Virtual Clinics Deliver Complete Healthcare

Virtual clinics are more than video consultations. They integrate multiple components of healthcare into a unified digital experience. SecondMedic’s virtual clinic model ensures continuity of care by bringing together doctors, diagnostics, monitoring tools, pharmacy support, and digital health records.

Core pillars of virtual clinic care include:

Instant doctor access
Seamless diagnostic testing
AI-based symptom evaluation
E-prescriptions
Medication delivery
Chronic disease monitoring
Preventive health programs

This creates an end-to-end flow that mirrors the experience of visiting a physical clinic, but with added convenience and personalization.

Online Consultations: Immediate Access to Specialists

One of the strongest features of a virtual clinic is the ability to consult qualified doctors quickly. Instead of waiting days for appointments or traveling long distances, patients can connect with specialists through secure video calls or chat.

Virtual consultations are especially useful for:

Common illnesses
Follow-up appointments
Second opinions
Chronic condition management
Mental health support
Elderly care
Pediatric queries

SecondMedic ensures that all consultations are supported by electronic health records, making the experience seamless and informed.

Digital Diagnostics and At-Home Lab Testing

Diagnostics are a core component of healthcare, and virtual clinics have made them significantly more accessible. Users can book lab tests online and have samples collected from their home. Results are delivered digitally, enabling faster diagnosis and treatment.

Advantages of digital diagnostics include:

No travel or waiting lines
Fast report turnaround
Integration with doctor consultations
Easy follow-up and comparisons over time
Better compliance for chronic disease tracking

SecondMedic partners with certified diagnostic labs to ensure high-quality test processing and accurate digital reporting.

Remote Monitoring and Chronic Disease Care

Chronic diseases such as diabetes, hypertension, heart illness, and thyroid disorders require ongoing monitoring. Virtual clinics use connected devices and AI-driven alerts to help patients stay on track with their health goals.

Common remote monitoring tools include:

Glucometers
Blood pressure monitors
Heart-rate trackers
Pulse oximeters
Weight and BMI tools
Sleep monitors
Wearable sensors

SecondMedic uses advanced analytics to detect risk patterns early, send reminders, and support long-term condition management.

E-Prescriptions and Digital Pharmacy Support

Virtual clinics simplify the process of receiving medical prescriptions and ordering medicines. E-prescriptions are accurate, tamper-proof, and instantly shareable with online pharmacies.

Digital pharmacy support helps with:

Medication delivery
Monthly chronic care refills
Transparent drug information
Avoiding prescription errors
Improving medication adherence

SecondMedic integrates e-prescriptions directly with its pharmacy partners, making the treatment process seamless.

Preventive Healthcare Through Virtual Clinics

Preventive care is becoming a priority for many Indians due to rising lifestyle diseases and increasing awareness of early screening. Virtual clinics support this need through personalized health plans designed using AI assessments, digital screenings, and doctor insights.

Preventive healthcare offerings include:

Annual full-body checkups
Lifestyle assessments
Diet and fitness plans
Stress and sleep guidance
Vaccination reminders
Long-term wellness tracking

SecondMedic’s preventive programs are designed to detect risks early and help users adopt healthier habits.

How Virtual Clinics Improve Healthcare Accessibility in India

Virtual clinics remove geographical barriers by bringing medical care to people who otherwise face difficulty accessing doctors. This includes:

Rural regions with limited healthcare facilities
Urban areas with long hospital wait times
Elderly individuals who cannot travel easily
Busy professionals needing flexible care
Patients seeking discretion for sensitive concerns

With increased digital literacy and affordable smartphones, virtual clinics are becoming accessible to a wide demographic.

The Future of Virtual Clinics in India

The future of virtual clinics is strong, supported by national initiatives like the Ayushman Bharat Digital Mission (ABDM), which encourages digital health adoption. AI-driven diagnostics, intelligent triaging, predictive health tools, and integrated hospital systems will further strengthen the virtual care model.

Upcoming trends include:

AI chat-based symptom evaluation
Virtual reality rehabilitation sessions
Smart device-linked monitoring
AI-based early disease detection
Comprehensive preventive health ecosystems
Hybrid care combining virtual and in-clinic visits

SecondMedic is actively developing next-generation virtual clinic technologies to make healthcare more proactive and patient-centered.

Conclusion

Virtual clinics are revolutionizing healthcare delivery in India by offering convenient, reliable, and digitally connected care. They bring together consultations, diagnostics, monitoring, and preventive health in one platform, reducing barriers and enabling patients to receive high-quality medical support anytime, anywhere. SecondMedic leads this transformation with a comprehensive virtual clinic model designed to support long-term health and wellbeing.

To access virtual consultations, digital diagnostics, and remote care services, visit www.secondmedic.com

References

NITI Aayog - Telemedicine and Digital Health Report 2024
Statista - Telehealth Usage India 2025
WHO - Digital Health Standards
IMARC - India Telemedicine Market Forecast
ABDM - Ayushman Bharat Digital Health Guidelines

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