Search results for "DVT"
MKSAP Quiz: Treatment of deep venous thrombosis
A 55-year-old woman is evaluated in the emergency department for right leg swelling and is diagnosed with a proximal deep venous thrombosis. Medical history is significant for end-stage kidney disease for which she is undergoing hemodialysis. What is the most appropriate anticoagulation treatment?
https://immattersacp.org/weekly/archives/2024/11/26/3.htm
26 Nov 2024
Higher risk for DVT, PE, bleeding seen after COVID-19; long-term risk for VTE recurrence may be low
A Swedish study found that patients who had COVID-19 were at higher risk for a first deep venous thrombosis (DVT) for up to three months, pulmonary embolism (PE) for up to six months, and bleeding for up to two months, while a single-center study from France found that risk for venous thromboembolism (VTE) recurrence up to a year after COVID-19 was low.
https://immattersacp.org/weekly/archives/2022/04/12/2.htm
12 Apr 2022
Patients with provoked VTE often on anticoagulation longer than recommended
Three variables were associated with receiving anticoagulation for longer than three months after a provoked venous thromboembolism (VTE): direct oral anticoagulant use, history of VTE, and history of myocardial infarction.
https://immattersacp.org/weekly/archives/2022/11/01/4.htm
1 Nov 2022
Latest COVID-19 research on VTE risk, treatment with metformin, ivermectin, fluvoxamine
Unvaccinated patients may have higher risk of venous thromboembolism (VTE) when mildly ill, one study found, while another showed no effect from metformin, ivermectin, or fluvoxamine. Research supported the safety of the mRNA vaccines, and the NIH updated its treatment guidelines.
https://immattersacp.org/weekly/archives/2022/08/23/4.htm
23 Aug 2022
MKSAP Quiz: Leg swelling, pain of 1 week's duration
A 48-year-old woman is evaluated in the emergency department for right leg swelling and pain of 1 week's duration. She reports no recent surgery, injuries, periods of immobility, or long airplane flights. Following a physical exam and ultrasound, what is the most appropriate management?
https://immattersacp.org/weekly/archives/2024/05/28/3.htm
28 May 2024
DOACs may be safe, effective for VTE prevention in patients with higher weight, BMI
Patients with first-time venous thromboembolism (VTE) who weighed 120 kg or more and had a body mass index (BMI) of 40 kg/m2 or more were not at higher risk for bleeding or recurrent VTE with direct-acting oral anticoagulants (DOACs) versus warfarin.
https://immattersacp.org/weekly/archives/2021/11/09/4.htm
9 Nov 2021
Long-term anticoagulation after first unprovoked VTE associated with considerable bleeding risk
Results from a systematic review and meta-analysis provide a framework for clinicians and patients to balance the benefits and harms of extended anticoagulation for unprovoked venous thromboembolism (VTE).
https://immattersacp.org/weekly/archives/2021/09/14/4.htm
14 Sep 2021
Guidelines offer 28 recommendations for initial management, secondary prevention of DVT and PE
Among other recommendations, the new guidelines from the American Society of Hematology suggest offering home treatment to low-risk patients with deep venous thrombosis (DVT) or pulmonary embolism (PE).
https://immattersacp.org/weekly/archives/2020/10/20/5.htm
20 Oct 2020
Anticoagulation not superior to placebo for calf DVT in low-risk patients, may increase bleeding risk
The randomized, double-blind, placebo-controlled trial examined a composite measure of extension of calf deep venous thrombosis (DVT) to proximal veins, contralateral proximal DVT, and symptomatic pulmonary embolism in a modified intention-to-treat population.
https://immattersacp.org/weekly/archives/2016/11/15/6.htm
15 Nov 2016
MKSAP Quiz: Testing for a patient with hypogonadism
A 61-year-old man is evaluated for recently diagnosed hypogonadism, for which testosterone therapy will be initiated. He has no history of prostate cancer, cardiovascular disease, or venous thromboembolic disease. He has no symptoms of excessive daytime sleepiness. Following a physical exam and lab tests, what is the most appropriate next step before initiating testosterone therapy?
https://immattersacp.org/weekly/archives/2024/08/06/3.htm
6 Aug 2024