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Hypercoaguable states

A Parikh, T P Vacek
Occurrence of paradoxical arterial embolism may cause the first symptoms in patients with a coexisting hypercoagulable state and patent foramen ovale (PFO). This can result in significant morbidity and mortality depending on the location of the embolism. The risks and benefits of closure of small PFOs have not been well elucidated in prior studies. We describe a patient with a history of Factor V Leiden heterozygosity who presented with left arm pain secondary to arterial embolism. The patient was a 51-year-old male who initially presented to the emergency department after awaking from sleep with progressive, severe, burning left arm pain...
March 2018: Oxford Medical Case Reports
Burke A Cunha, Bertamaria Dieguez, Alena Varantsova
Culture negative endocarditis (CNE) is a common concern in patients with fever, heart murmur, cardiac vegetation, and negative blood cultures. The diagnosis of CNE is not based only on negative blood cultures and a cardiac vegetation. The clinical definition of CNE is based on negative blood cultures plus the findings of culture positive infective endocarditis (IE), e.g., fever, cardiac vegetation, splenomegaly, peripheral manifestations. Because embolic splenic infarcts may occur with culture positive IE, some may assume that splenic infarcts are a sign of CNE...
February 7, 2018: European Journal of Clinical Microbiology & Infectious Diseases
Nneamaka B Agochukwu, Lesley Wong, James Y Liau
BACKGROUND: Use of dermal regeneration template (DRT) is well documented in the literature for complex wounds ranging from the scalp, trunk, and lower extremity. METHODS: A retrospective cohort study was performed of the use of dermal regeneration template and skin grafting. A literature review was performed of all studies where DRT was used for scalp reconstruction. RESULTS: Patients in the DRT cohort had an average age of 70, with wounds averaging 108 cm in size...
January 2018: Journal of Craniofacial Surgery
J Haynes, R L Barrack, D Nam
AIMS: The purpose of this article was to review the current literature pertaining to the use of mobile compression devices (MCDs) for venous thromboembolism (VTE) following total joint arthroplasty (TJA), and to discuss the results of data from our institution. PATIENTS AND METHODS: Previous studies have illustrated higher rates of post-operative wound complications, re-operation and re-admission with the use of more aggressive anticoagulation regimens, such as warfarin and factor Xa inhibitors...
January 2017: Bone & Joint Journal
Christopher R Connelly, Philbert Y Van, Kyle D Hart, Scott G Louis, Kelly A Fair, Anfin S Erickson, Elizabeth A Rick, Erika C Simeon, Eileen M Bulger, Saman Arbabi, John B Holcomb, Laura J Moore, Martin A Schreiber
Importance: Prophylactic enoxaparin is used to prevent venous thromboembolism (VTE) in surgical and trauma patients. However, VTE remains an important source of morbidity and mortality, potentially exacerbated by antithrombin III or anti-Factor Xa deficiencies and missed enoxaparin doses. Recent data suggest that a difference in reaction time (time to initial fibrin formation) greater than 1 minute between heparinase and standard thrombelastogram (TEG) is associated with a decreased risk of VTE...
October 19, 2016: JAMA Surgery
Megan L Garcia, Katharine Caldwell, Anna Kellund, Cynthia Reyes
We report a case of middle cerebral artery stroke with heterozygosity for 2 separate hypercoagulable conditions following repair of an H-type tracheoesophageal fistula (TEF) in an infant. Neonatal stroke is rare, occurring in 1 in 4000 births annually in the United States. Stroke after pediatric surgery occurs in approximately 0.05% of patients. Etiologies of stroke in neonates include cardiac, hematologic, vascular, traumatic, metabolic, pharmacologic, infectious, and hypoxemic insults. Thrombophilia has been described in 42% to 78% of neonates with neonatal stroke...
October 2016: Journal of Pediatric Hematology/oncology
Janet Downs, William A Childers
Venous thromboembolism (VTE) is a complication associated with the hypercoaguable state produced in patients with Factor V Leiden deficiency. Clinically, patients can present with pleuritic chest pain, dyspnea, tachycardia, and unilateral leg swelling, warmth, erythema, and pain. Treatment with heparin is urgent, and patients should continue an anticoagulation drug regimen at home.
February 2016: JAAPA: Official Journal of the American Academy of Physician Assistants
Sabeen Dhand, S David Stulberg, Lalit Puri, Jennifer Karp, Robert K Ryu, Robert J Lewandowski
INTRODUCTION: Some patients undergoing total joint arthroplasty are at increased risk for venous thromboembolism (VTE). The aim of the present study was to evaluate the safety and efficacy of prIVCF in preventing PE in patients undergoing joint replacement surgery who are at high-risk for VTE. MATERIALS AND METHODS: In this prospective, IRB-approved study, prIVCF were placed in consecutive patients who met specific high-risk criteria (history of VTE or hypercoaguable state) prior to total joint arthroplasty...
December 2015: Journal of Clinical and Diagnostic Research: JCDR
Andrew J Wilson, Daniel S Martin, Victoria Maddox, Simon Rattenbury, Davis Bland, Sanjay Bhagani, Ian Cropley, Susan Hopkins, Stephen Mepham, Alison Rodger, Simon Warren, Pratima Chowdary, Michael Jacobs
Here, we describe the first use of thromboelastography (TEG) in the management of 2 cases of Ebola virus disease. Early in their illness, both patients had evidence of a consumptive coagulopathy. As this resolved, TEG demonstrated that both developed a marked hypercoagulable state, which was treated with low-molecular-weight heparin.
March 1, 2016: Clinical Infectious Diseases: An Official Publication of the Infectious Diseases Society of America
Michael W Ogden, Kristin M Marano, Bobbette A Jones, Walter T Morgan, Mitchell F Stiles
A randomized, multi-center study of adult cigarette smokers switched to tobacco-heating cigarettes, snus or ultra-low machine yield tobacco-burning cigarettes (50/group) for 24 weeks was conducted. Evaluation of biomarkers of biological effect (e.g. inflammation, lipids, hypercoaguable state) indicated that the majority of consistent and statistically significant improvements over time within each group were observed in markers of inflammation. Consistent and statistically significant differences in pairwise comparisons between product groups were not observed...
2015: Biomarkers: Biochemical Indicators of Exposure, Response, and Susceptibility to Chemicals
Indiran Govender, Honey L Mabuza, Gboyega A Ogunbanjo
BACKGROUND: Deep vein thrombosis (DVT) is 10 times more prevalent in HIV and AIDS patients than in the general population and is more common in patients with severe immune suppression (CD4 < 200 cells/mL). Opportunistic infections render HIV and AIDS patients susceptible to a hypercoaguable state, including lower protein S levels. AIM AND SETTING: To present the profile of HIV and AIDS patients who developed DVT in the primary care wards of Dr. George Mukhari Academic Hospital (DGMAH), Garankuwa...
March 27, 2015: African Journal of Primary Health Care & Family Medicine
Katherine E Economy, Anne Marie Valente
No abstract text is available yet for this article.
July 14, 2015: Circulation
Jeremy M Burnham, Marlene Broussard, Todd Milbrandt
Pulmonary embolism is a life-threatening but treatable condition. Factors such as hypercoagulability and recent lower extremity surgery are associated with a higher incidence of thrombus formation and pulmonary embolism. Patients with sickle cell disease have a baseline hypercoaguable state and are at a greater risk forming deep vein thrombosis and pulmonary embolism than the general population. This increased risk is rarely cited in the literature. We describe a sickle cell patient two-weeks status-post total hip arthroplasty who presented with bilateral pulmonary embolism complaining of chest and shoulder pain...
2014: Iowa Orthopaedic Journal
Gordon F Rushworth, Stephen J Leslie, Peter Forsyth, Claire Vincent
Lenalidomide in combination with dexamethasone is a treatment for patients with relapsed or refractory myeloma. Although this combination demonstrates a high level of efficacy, it further exacerbates the hypercoaguable state that exists within myeloma. Thromboprophylactic regimen require careful selection and if warfarin is chosen, assiduous monitoring is required to ensure it will be clinically effective. We report the case of one patient who experienced multiple thrombotic events despite anticoagulant or antiplatelet thromboprophylaxis and review the contributing factors...
June 2012: Therapeutic Advances in Drug Safety
Nk Vanes, H O'Connor, P Baillie, A Sinha
: The hypercoaguable state induced in pregnancy leads to many challenges in clinical management, including an increased risk of venous thromboembolism (VTE). There were 18 deaths in pregnancy attributable to VTE in 2006-2008, reflecting a fall which is attributable to the implementation of national guidelines. A retrospective study was performed assessing whether guidelines were met regarding the initial management of suspected VTE in pregnancy. This included assessment of whether objective testing was performed expeditiously, and whether treatment with low-molecular-weight heparin (LMWH) until the diagnosis was excluded was commenced...
June 2014: Archives of Disease in Childhood. Fetal and Neonatal Edition
J Satyasarathi, Arun Gogna, Swapnil Mehta, Jhasaketan Meher
SESSION TITLE: Tuberculosis Case Report PostersSESSION TYPE: Case Report PosterPRESENTED ON: Sunday, March 23, 2014 at 01:15 PM - 02:15 PMINTRODUCTION: Tuberculosis is one of the most prevalent infectious diseases globally and more so in third world countries like India. There are various systemic manifestation of Tuberculosis however its association with hematological system is rare. Here we are reporting a rare case of Pulmonary thromboembolism associated with tuberculosis. CASE PRESENTATION: A 62 year old female presented with sudden onset shortness of breath,chest pain and swelling in left lower limb...
March 1, 2014: Chest
J Reeser
BACKGROUND: Dietary supplements unregulated by the USFDA carry a risk not only of unintentional doping but of other health disturbances as well. OBJECTIVE: To describe a case of neurological dysfunction following prolonged supplement consumption. DESIGN: Case study. SETTING: Outpatient clinic and tertiary hospital. PATIENT: An 18-yr male with a history of multiple concussions presented with acute progressive left-sided numbness and paresthesias while weight-lifting...
April 2014: British Journal of Sports Medicine
Adel Abu-Heija
The association between thrombophilia and recurrent pregnancy loss (RPL) has become an undisputed fact. Thorombophilia creates a hypercoaguable state which leads to arterial and/or venous thrombosis at the site of implantation or in the placental blood vessels. Anticoagulants are an effective treatment against RPL in women with acquired thrombophilia due to antiphospholipid syndrome. The results of the use of anticoagulants for treating RPL in women with inherited thrombophilia (IT) are encouraging, but recently four major multicentre studies have shown that fetal outcomes (determined by live birth rates) may not be as favourable as previously suggested...
February 2014: Sultan Qaboos University Medical Journal
Anne K H Krogh, Pernille Legind, Mads Kjelgaard-Hansen, Louise Bochsen, Annemarie T Kristensen
BACKGROUND: Sled dogs performing endurance races have been reported to have a high incidence of gastric erosions or ulcerations and an increased risk of gastro intestinal bleeding leading to death in some cases. In addition, these dogs also become hypothyroid during training and exercise. Canine hypothyroidism has been shown to correlate with decreased von Willebrand factor antigen and potentially increased bleeding tendency. Whether increased gastro intestinal bleeding risk is exacerbated due to changes in the hemostatic balance is unknown...
February 7, 2014: Acta Veterinaria Scandinavica
Thanainit Chotanaphuti, Sompob Thongprasert, Artit Laoruengthana
BACKGROUND: Hypercoaguable state has been indicated as a major risk factor in predisposing the idiopathic osteonecrosis of the hip. Furthermore, many studies have demonstrated that low molecular weight heparin (LMWH) can reverse the pathophysiology of the osteonecrosis of the hip in thrombophilic patients. OBJECTIVE: Determine whether LMWH can prevent the progression of idiopathic osteonecrosis of the hip. MATERIAL AND METHOD: A retrospective study of 36 patients who had bilateral idiopathic osteonecrosis with at least one hip in the pre-collapsed stage (Ficat & Arlet stage I-II) was conducted...
October 2013: Journal of the Medical Association of Thailand, Chotmaihet Thangphaet
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