کد مقاله | کد نشریه | سال انتشار | مقاله انگلیسی | نسخه تمام متن |
---|---|---|---|---|
9162174 | 1173461 | 2005 | 8 صفحه PDF | دانلود رایگان |
عنوان انگلیسی مقاله ISI
The Management of Patients With Heparin-Induced Thrombocytopenia Who Require Anticoagulant Therapy
دانلود مقاله + سفارش ترجمه
دانلود مقاله ISI انگلیسی
رایگان برای ایرانیان
کلمات کلیدی
CPBPCIIVCHIT - اصابتcardiopulmonary bypass - بایپس قلب و ریهDVT - ترومبوز سیاهرگی عمقیDeep venous thrombosis - ترومبوز ورید عمیقHeparin-induced thrombocytopenia - ترومبوسیتوپنی ناشی از هپارینthromboprophylaxis - ترومبوفیلیکسیسELISA - تست الیزاEnzyme-linked immunosorbent assay - تست الیزاpercutaneous coronary intervention - مداخله کرونری از راه پوستdirect thrombin inhibitor - مستقیم مهار کننده ترومبینfactor Xa inhibitor - مهار کننده فاکتور XaAnticoagulation - پادبَند یا ضد انعقاد
موضوعات مرتبط
علوم پزشکی و سلامت
پزشکی و دندانپزشکی
کاردیولوژی و پزشکی قلب و عروق
پیش نمایش صفحه اول مقاله
چکیده انگلیسی
For patients with heparin-induced thrombocytopenia (HIT), reexposure to heparin is generally not recommended. However, these patients are likely to require anticoagulation therapy at some point in the future. During acute HIT, when thrombocytopenia and anti-heparin-platelet factor 4 antibodies (or HIT antibodies) are present, therapy with heparin must be avoided. In patients with subacute HIT, when platelets have recovered but HIT antibodies are still present, therapy with heparin should be avoided. In patients with a remote history of HIT, when HIT antibodies have cleared, heparin reexposure may be safe, although recurrent HIT has been described in some patients. For all of these patients, the use of alternate anticoagulant agents, including direct thrombin inhibitors and anti-Xa agents, is preferable. There is an increasing amount of data supporting the use of these alternative agents in a wide variety of clinical circumstances, including thromboprophylaxis and treatment of acute thrombosis. Except for a few clinical situations, it is generally possible to avoid heparin reexposure in patients with a history of HIT
ناشر
Database: Elsevier - ScienceDirect (ساینس دایرکت)
Journal: Chest - Volume 127, Issue 2, Supplement, February 2005, Pages 1S-8S
Journal: Chest - Volume 127, Issue 2, Supplement, February 2005, Pages 1S-8S
نویسندگان
Kathryn MD,