Journals / Türk Göğüs Kalp Damar Cerrahisi Dergisi / 2009 / Cilt: 17 - Sayı: 4

Venous thromboembolism and inherited thrombophilia

Venöz tromboemboli ve kalıtsal trombofili

Pages
302–311
Publication Date
2022-11-05
DOI
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AI Summary & Key Takeaways

AI Insight
⚡ TL;DR(Too Long; Didn't Read)

Reliable assays are now available to test for the presence of the various causes of inherited thrombophilia.

📌 3 Key Takeaways

🎯
Objective & Hypothesis:Inherited thrombophilia is a genetic tendency to venous thromboembolism.
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Key Findings & Data:Patients with a family history of thrombosis are at an increased risk for a mutation.
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Conclusion & Impact:Reliable assays are now available to test for the presence of the various causes of inherited thrombophilia.
🔬Design:Research Article
📍Scope:Comprehensive Sample
⚙️Variables:Domain Parameters

Abstract

Inherited thrombophilia is a genetic tendency to venous thromboembolism. Coagulation abnormalities are common in the general population and therefore will present spontaneously in some individuals. Patients with a family history of thrombosis are at an increased risk for a mutation. Factor V Leiden and the prothrombin, G20210A mutation the commonest inherited risk factors for thrombosis, are associated with an increased risk of venous thromboembolism. These causes of thrombophilia increase the risk of venous thromboembolism recurrence. Deficiencies in protein C, protein S, and antithrombin-III account for most of the remaining cases of thrombophilia. Inherited thrombophilia should be suspected in patients with one or more of the following clinical features: idiopathic thrombosis, thrombosis at a young age, recurrent thrombosis, and thrombosis at an unusual site. Reliable assays are now available to test for the presence of the various causes of inherited thrombophilia.

Özet

Kalıtsal trombofili venöz tromboembolizme genetik yatkınlıktır. Genel toplumda koagülasyon anormallikleri yaygındır ve bazı bireylerde herhangi bir risk faktörü olmadan spontan olarak da görülebilmektedir. Ailede tromboz öyküsü olanlarda, mutasyon bulunma olasılığı yüksektir. Tromboz için en sık görülen kalıtsal risk faktörleri olan faktör V Leiden ve protrombin G20210A gen mutasyonu venöz tromboembolim açısından yüksek risk taşırlar. Bu trombofili nedenleri, tekrarlayan venöz tromboemboli ataklarını artırmaktadır. Geriye kalan olguların çoğunda trombofili nedeni; protein C, protein S ve antitrombin-III eksikliğidir. Kalıtsal trombofiliden şüphe edilmesi gereken klinik tablolar; idiyopatik tromboz, genç yaşta geçirilen tromboz, tekrarlayan trombotik olaylar ve nadir olarak etkilenen damarlarda tromboembolik olayların ortaya çıkması şeklinde sıralanabilir. Kalıtsal trombofilinin çeşitli nedenlerinin varlığını test etmek açısından güvenilir testler bulunmaktadır.

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Cite This Article

UĞURLU, S., ATAHAN, E., ŞARKIŞ, C., ÇAĞLAR, E. (2022). Venous thromboembolism and inherited thrombophilia. Türk Göğüs Kalp Damar Cerrahisi Dergisi, Cilt: 17 - Sayı: 4, 302–311. https://ajindex.com/articles/624671

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References (16)

  1. Perry DJ. Antithrombin and its inherited deficiencies. Blood Rev 1994;8:37-55
  2. Bayston T, Lane D. Antithrombin mutation database. Available from: http://www1.imperial.ac.uk/medicine/about/ divisions/is/haemo/coag/antithrombin/ Access date; June 5, 2007
  3. Meade TW, Dyer S, Howarth DJ, Imeson JD, Stirling Y. Antithrombin III and procoagulant activity: sex differences and effects of the menopause. Br J Haematol 1990; 74:77-81
  4. Tait RC, Walker ID, Perry DJ, Carrell RW, Islam SIA, McCall F, et al. Prevalence of antithrombin III deficiency subtypes in 4000 healthy blood donors. Thromb Haemost 1992;65:839
  5. Tait RC, Walker ID, Perry DJ, Islam SI, Daly ME, McCall F, et al. Prevalence of antithrombin deficiency in the healthy population. Br J Haematol 1994;87:106-12
  6. Finazzi G, Caccia R, Barbui T. Different prevalence of thromboembolism in the subtypes of congenital antithrombin III deficiency: review of 404 cases. Thromb Haemost 1987; 58:1094
  7. Thaler, E, Lechner, K. Antithrombin III deficiency and thromboembolism. In: Prentice CRM, editor. Clinics in haematology. Vol. 10, London: W. B. Saunders; 1981. p. 369-90
  8. Walker ID. Congenital thrombophilia. Baillieres Clin Obstet Gynaecol 1997;11:431-45
  9. Bick RL, Kaplan H. Syndromes of thrombosis and hypercoagulability. Congenital and acquired causes of thrombosis. Med Clin North Am 1998;82:409-58
  10. Hultin MB. Antithrombin III Assays. In: Beutler E, Lichtman MA, Coller BS, Kipps TS, editors. Williams hematology. 5th ed. New York: McGraw Hill Inc; 1995. p. 101-9
  11. Damus PS, Wallace GA. Immunologic measurement of antithrombin III-heparin cofactor and alpha2 macroglobulin in disseminated intravascular coagulation and hepatic failure coagulopathy. Thromb Res 1975;6:27-38
  12. Mammen EF. Antithrombin: its physiological importance and role in DIC. Semin Thromb Hemost 1998;24:19-25
  13. Panicucci F, Sagripanti A, Conte B, Pinori E, Vispi M, Lecchini L. Antithrombin III, heparin cofactor and antifactor Xa in relation to age, sex and pathological condition. Haemostasis 1980;9:297-302
  14. Weenink GH, Kahlé LH, Lamping RJ, ten Cate JW, Treffers PE. Antithrombin III in oral contraceptive users and during normotensive pregnancy. Acta Obstet Gynecol Scand 1984; 63:57-61
  15. Weenink GH, Treffers PE, Vijn P, Smorenberg-Schoorl ME, Ten Cate JW. Antithrombin III levels in preeclampsia correlate with maternal and fetal morbidity. Am J Obstet Gynecol 1984;148:1092-7
  16. Raya-Sánchez JM, González-Reimers E, Ro