Document Detail


Thrombophilic factors in chronic thromboembolic pulmonary hypertension.
MedLine Citation:
PMID:  11555695     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Chronic thromboembolic pulmonary hypertension (CTE-PH) is an infrequent cause of pulmonary hypertension that develops in 0.1-0.2% of patients who survive after an acute venous thromboembolic event. According to the largest series so far reported, 15-30% of patients with diagnosis of CTE-PH have an underlying congenital or acquired hypercoagulable state. To determine the prevalence of thrombophilic factors in our population, we analyzed 24 patients admitted to our institution between November 1992 and March 2000 fulfilling criteria for CTE-PH. Eighteen patients disclosed abnormal results in the screening for thrombophilia. The presence of antiphospholipid antibodies (lupus anticoagulant and/or anticardiolipin antibodies) was the abnormality most frequently found (12 out of 24 patients). We found hyperhomocysteinaemia in 7/14, true protein S deficiency in 1/10, protein C deficiency in 1/13, activated protein C resistance in 1/22, antithrombin III deficiency in 1/24, and prothrombin gene G20210A mutation in 1/18 patients. Factor V Leiden was normal in all 18 patients studied. Five patients (20.8%) disclosed more than one thrombophilic abnormality. In conclusion, contrary to the largest series of patients with CTE-PH so far reported, we found that 75% of patients with CTE-PH presented at least one thrombophilic risk factor, being antiphospholipid antibodies in 50% of the cases. We recommend a thorough screening for thrombophilia in all patients with diagnosis of CTE-PH.
Authors:
C C Colorio; M E Martinuzzo; R R Forastiero; G Pombo; Y Adamczuk; L O Carreras
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Blood coagulation & fibrinolysis : an international journal in haemostasis and thrombosis     Volume:  12     ISSN:  0957-5235     ISO Abbreviation:  Blood Coagul. Fibrinolysis     Publication Date:  2001 Sep 
Date Detail:
Created Date:  2001-09-13     Completed Date:  2001-12-04     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  9102551     Medline TA:  Blood Coagul Fibrinolysis     Country:  England    
Other Details:
Languages:  eng     Pagination:  427-32     Citation Subset:  IM    
Affiliation:
Department of Hematology, Institute of Cardiology and Cardiovascular Surgery, Favaloro University, Favaloro Foundation, Buenos Aires, Argentina. ccolorio@intramed.net.ar
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MeSH Terms
Descriptor/Qualifier:
Activated Protein C Resistance / complications
Adult
Aged
Antibodies, Antiphospholipid / blood
Antithrombin III Deficiency
Chronic Disease
Female
Humans
Hyperhomocysteinemia / complications
Hypertension, Pulmonary / etiology*
Male
Middle Aged
Mutation
Prospective Studies
Protein C Deficiency / complications
Protein S Deficiency / complications
Prothrombin / genetics
Pulmonary Embolism / complications*
Thrombophilia / complications*
Chemical
Reg. No./Substance:
0/Antibodies, Antiphospholipid; 9001-26-7/Prothrombin

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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