Thrombophilia screening--at the right time, for the right patient, with a good reason.

Abstract:

:Thrombophilia can be identified in about half of all patients presenting with venous thromboembolism (VTE). Thrombophilia screening for various indications has increased tremendously, but whether the results of such tests help in the clinical management of patients is uncertain. Here, current recommendations for thrombophilia screening in selected groups of patients, and considerations whether other high-risk subjects should be tested are reviewed. The methods for determination of the most common thrombophilic defects (antithrombin, protein C, protein S deficiencies, Factor V Leiden and prothrombin G20210A) associated with strong to moderate risk of VTE are described, indicating the timing and location of thrombophilia screening. Circumstances when a positive result of thrombophilia screening helps clinicians decide if adjustments of the anticoagulant regime are needed are discussed. Finally, psychological, social and ethical dilemmas associated with thrombophilia screening are indicated.

journal_name

Clin Chem Lab Med

authors

Stegnar M

doi

10.1515/CCLM.2010.367

subject

Has Abstract

pub_date

2010-12-01 00:00:00

pages

S105-13

eissn

1434-6621

issn

1437-4331

journal_volume

48 Suppl 1

pub_type

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