Artículos de revistas
Significância clínica de tromboembolismo venoso recorrente
Fecha
2010-06-01Registro en:
Jornal Vascular Brasileiro, v. 9, n. 2, p. 72-75, 2010.
1677-5449
10.1590/S1677-54492010000200010
S1677-54492010000200010
2-s2.0-77958122307
2-s2.0-77958122307.pdf
9609324832591382
Autor
Stony Brook University Medical Center
Universidade Estadual Paulista (Unesp)
Institución
Resumen
Recurrent venous thromboembolism is a significant problem leading to increased morbidity and mortality. It has a high impact on patients' quality of life and imposes a great financial burden on society. Cumulative recurrence has been reported as 40% at 10 years, while the chance of developing postthrombotic signs and symptoms in the lower extremities almost quadruples when ipsilateral. There is also a higher chance of developing pulmonary hypertension. Important factors for recurrence are unprovoked episodes of deep vein thrombosis, malignancy and older age. The evidence for other factors is controversial. Accurate diagnosis and treatment tailored to the patients' history, thrombotic events and risk factors are necessary to optimize management and prevent recurrence.