Thrombophilia testing in the era of direct oral anticoagulants.

APS DOAC DOAC-Stop VTE antiphospholipid syndrome direct oral anticoagulants thrombophilia thrombophilia testing venous thromboembolism

Journal

Clinical medicine (London, England)
ISSN: 1473-4893
Titre abrégé: Clin Med (Lond)
Pays: England
ID NLM: 101092853

Informations de publication

Date de publication:
09 2021
Historique:
pubmed: 9 9 2021
medline: 24 9 2021
entrez: 8 9 2021
Statut: ppublish

Résumé

Venous thromboembolism (VTE) is increasingly recognised in primary and secondary care practice. The arrival of direct oral anticoagulants (DOACs) has made the management of VTE easier and more convenient. Some patients established on DOACs may need screening for underlying thrombophilias as certain thrombophilic conditions are known to confer a higher thrombosis risk, although the guidelines for when and how to test for a thrombophilia, especially in a patient taking a DOAC, are unclear. This literature review aims to examine when thrombophilia screening should take place in a patient already taking a DOAC, the effect of DOACs on thrombophilia tests, and analyse whether DOACs are safe and effective in both inherited and acquired thrombophilias.

Identifiants

pubmed: 34493545
pii: clinmed.2020-1008
doi: 10.7861/clinmed.2020-1008
pmc: PMC8439516
doi:

Substances chimiques

Anticoagulants 0

Types de publication

Journal Article Review

Langues

eng

Sous-ensembles de citation

IM

Pagination

e487-e491

Informations de copyright

© Royal College of Physicians 2021. All rights reserved.

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Auteurs

Jennifer Darlow (J)

Manchester Royal Infirmary, Manchester, UK jenny.wilson@doctors.org.uk.
equal first authors.

Holly Mould (H)

University of Manchester, Manchester, UK.
equal first authors.

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Classifications MeSH