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FACP. Colegio de médicos de Tarragona Nº 4305520 / fgcapriles@gmail.com

WORLD EMERGENCY MEDICINE SOCIETIES & RELATED

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Saturday, November 24, 2012

Trombofilia

When Is Testing for Thrombophilia Indicated?
Stehlikova M. y col. The Hospitalist. October, 2012
"Thrombophilia can now be identified in more than half of all patients presenting with venous thromboembolism (VTE), and testing for underlying causes of thrombophilia has become widespread.
KEY POINTS:
  1. Thrombophilia testing does not predict anticoagulation failure and does not alter the initial treatment for VTE.
  2. There is no conclusive evidence that patients with thrombophilia are more likely to suffer recurrence after anticoagulation cessation compared with those without thrombophilia.
  3. The strongest predictor for recurrence is whether the initial VTE event was unprovoked.