Testing for thrombophilia: clinical update

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Testing for thrombophilia: clinical update.

British Journal of General Practice, February 2014 e120 baCKGROUND Thrombophilia describes inherited and acquired prothrombotic states which predispose to venous, but not arterial thromboembolism. The heritable states are of limited clinical significance in primary care and while they may underlie a patient’s presentation with deep venous thrombosis (DVT) or pulmonary embolism (PE) of uncertain...

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Clinical guidelines for testing for heritable thrombophilia.

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Thrombophilia: 2009 update.

As venous thrombosis is mostly caused by disturbances in the plasma coagulation system, abnormalities of coagulation factors are mostly risk factors for venous thromboembolism (VTE). Relatively little is known about thrombophilias that predispose to arterial thromboembolism. Although some abnormalities in the fibrinolytic pathway appear to predispose to arterial thrombosis, the associations are...

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Is thrombophilia testing useful?

Thrombophilia is found in many patients presenting with venous thromboembolism (VTE). However, whether the results of such tests help in the clinical management of such patients has not been determined. Thrombophilia testing in asymptomatic relatives may be useful in families with antithrombin, protein C, or protein S deficiency or homozygosity for factor V Leiden, but is limited to women who i...

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Thrombophilia and venous thromboembolism: implications for testing.

In the last decades, the knowledge on the etiology of venous thromboembolism (VTE) has increased tremendously. In approximately half of patients presenting with VTE, one or more thrombophilic defects can be identified. This has led to widespread testing for thrombophilia, despite the fact that, at present, it is unclear whether this should have therapeutic consequences. Here we review the curre...

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ژورنال

عنوان ژورنال: British Journal of General Practice

سال: 2014

ISSN: 0960-1643,1478-5242

DOI: 10.3399/bjgp14x677310