Towards evidence-based treatment of thrombotic antiphospholipid syndrome.

Abstract:

:Thrombosis in the presence of persistently positive tests for antiphospholipid antibodies is termed thrombotic antiphospholipid syndrome (APS). At present, 'standard' secondary thromboprophylaxis in thrombotic APS is treatment with moderate intensity oral anticoagulants for life after a first venous thrombosis and with high intensity oral anticoagulation after non-embolic ischaemic stroke. These recommendations differ from those applied in the general population, where a restricted period of anticoagulation is common practice after venous thrombosis and antiplatelet drugs are the first choice after ischaemic stroke. From an extensive literature review we conclude that the available data are insufficient to apply a different strategy for secondary thromboprophylaxis in patients with thrombotic APS than the one that holds for the general population.

journal_name

Lupus

journal_title

Lupus

authors

Derksen RH,de Groot PG

doi

10.1177/0961203309361483

subject

Has Abstract

pub_date

2010-04-01 00:00:00

pages

470-4

issue

4

eissn

0961-2033

issn

1477-0962

pii

19/4/470

journal_volume

19

pub_type

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