Mechanistic View of Risk Factors for Venous Thromboembolism

Arteriosclerosis, Thrombosis, and Vascular Biology - Tập 32 Số 3 - Trang 563-568 - 2012
Pieter H. Reitsma1, Henri H. Versteeg1, Saskia Middeldorp1
1From the Department of Thrombosis and Hemostasis (P.H.R), Einthoven Laboratory for Experimental Vascular Medicine (P.H.R., H.H.V.), and Department of Clinical Oncology (H.H.V.), Leiden University Medical Center, Leiden, the Netherlands; Department of Vascular Medicine (S.M.), Academic Medical Center, Amsterdam, the Netherlands; and Rembrandt Institute of Cardiovascular Science (P.H.R., H.H.V., S.M.), Leiden University Medical Center and the Academic Medical Center, Leiden and Amsterdam, the...

Tóm tắt

Venous thromboembolism is an episodic disease with an annual incidence of 2 to 3/1000 per year that is associated with a high morbidity and mortality. Risk factors for venous thromboembolism come in many guises. They fit into an extended version of Virchow's triad and they tilt the hemostatic balance toward clot formation. This can be achieved by decreasing blood flow and lowering oxygen tension, by activating the endothelium, by activating innate or acquired immune responses, by activating blood platelets, or by increasing the number of platelets and red blood cells or modifying the concentrations of pro- and anticoagulant proteins in the blood. In this narrative review we will discuss the known common risk factors within this pathophysiological framework.

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