Journal Information
Vol. 216. Issue 9.
Pages 488-494 (December 2016)
Share
Share
Download PDF
More article options
Visits
15
Vol. 216. Issue 9.
Pages 488-494 (December 2016)
Review
Recurrence risk of idiopathic venous thromboembolism
Riesgo de recurrencia en el tromboembolismo venoso idiopático
Visits
15
A.I. Franco-Morenoa,
Corresponding author
aifranco@torrejonsalud.com

Corresponding author.
, C.L. de Ancos-Aracilb, M.J. García-Navarroa
a Medicina Interna, Hospital Universitario de Torrejón, Torrejón de Ardoz, Madrid, Spain
b Medicina Interna, Hospital Universitario de Fuenlabrada, Fuenlabrada, Madrid, Spain
This item has received
Article information
Statistics
Tables (4)
Table 1. Risk factors for recurrence in unprovoked venous thromboembolism disease.7–12,16,23,24,31,32,40–42
Table 2. MEN continue and HER DOO2 model (gender, HER, d-dimer, obesity, older age).27
Table 3. Vienna prediction model.21
Table 4. DASH score (d-dimer, age, sex, hormonal therapy).22
Show moreShow less
Abstract

For patients with idiopathic venous thromboembolism (unprovoked), the risk of recurrence is high. Secondary prophylaxis with anticoagulant therapy reduces the thrombotic risk but at the expense of an increased risk of hemorrhage. A number of factors, such as the male sex and an increase in dimer-d concentrations after completing the anticoagulation therapy, are associated with an increased risk of recurrence. Other factors such as residual venous thrombosis have a more controversial and sometimes contradictory relationship. A number of models have been proposed for predicting thrombotic recurrence risk after anticoagulation therapy in unprovoked venous thromboembolism. However, these models need external validation to determine their current usefulness in clinical practice. In this article, we analyze the risk factors for thrombotic recurrence and the existing prediction models.

Keywords:
Venous thromboembolism disease
Recurrence
Risk factor
Clinical prediction
Resumen

En pacientes con enfermedad tromboembólica venosa idiopática (no provocada) el riesgo de recurrencia es elevado. La profilaxis secundaria con terapia anticoagulante reduce el riesgo trombótico, pero a expensas de un incremento del riesgo de hemorragias. Algunos factores, como el sexo masculino o una elevación de la concentración de dímero-D tras finalizar la anticoagulación, se asocian a un mayor riesgo de recidiva; otros, como la trombosis venosa residual, tienen una relación más controvertida, incluso contradictoria. Se han propuesto algunos modelos de predicción del riesgo de recurrencia trombótica tras la anticoagulación en la enfermedad tromboembólica venosa (ETEV) no provocado, pero necesitan una validación externa para conocer su utilidad real en la práctica clínica. En este artículo se analizan los factores de riesgo de recidiva trombótica y los modelos de predicción existentes.

Palabras clave:
Enfermedad tromboembólica venosa
Recurrencia
Factor de riesgo
Predicción clínica

Article

These are the options to access the full texts of the publication Revista Clínica Española (English Edition)
Member
Si es usted socio de FESEMI siga los siguientes pasos:

Diríjase desde aquí a la web de la >>>FESEMI<<< e inicie sesión mediante el formulario que se encuentra en la barra superior, pulsando sobre el candado.

Una vez autentificado, en la misma web de FESEMI, en el menú superior, elija la opción deseada.

>>>FESEMI<<<

Subscriber
Subscriber

If you already have your login data, please click here .

If you have forgotten your password you can you can recover it by clicking here and selecting the option “I have forgotten my password”
Subscribe
Subscribe to

Revista Clínica Española (English Edition)

Purchase
Purchase article

Purchasing article the PDF version will be downloaded

Price 19.34 €

Purchase now
Contact
Phone for subscriptions and reporting of errors
From Monday to Friday from 9 a.m. to 6 p.m. (GMT + 1) except for the months of July and August which will be from 9 a.m. to 3 p.m.
Calls from Spain
932 415 960
Calls from outside Spain
+34 932 415 960
Email
Idiomas
Revista Clínica Española (English Edition)
Article options
Tools
es en

¿Es usted profesional sanitario apto para prescribir o dispensar medicamentos?

Are you a health professional able to prescribe or dispense drugs?