Recurrent Venous Thromboembolism: What Is the Risk and How to Prevent It

Recurrent Venous Thromboembolism: What Is the Risk and How to Prevent It

Blog Article

Venous thromboembolism (VTE) that includes deep vein thrombosis and/or pulmonary embolism is a frequent, severe, and potentially lethal disease.After a first episode, VTE has a strong tendency to recur.While VTE is an acute disease, it may have variable outcomes in early and late phases after initial presentation.Furthermore, the incidence of late, hfcs1lp clinically important consequences (postthrombotic syndrome and/or chronic thromboembolic pulmonary hypertension) increases in case of recurrent events.The aims of the present review are (i) to analyze the incidence and risk factors for recurrence of VTE (either those related to the type of first thrombotic event or to the patients), the risks associated with occurrence of recurrent events, and the problems linked to the diagnosis, not always easy, of recurrent events; (ii) to discuss whether or not it is possible to predict the individual risk of recurrence after a first event, by stratifying patients at high or low risk of recurrence, and how this can tiny gum squares influence their treatment; (iii) to comment what the current guidelines and guidance suggest/recommend about anticoagulant treatment after a first VTE event and, finally, to propose practical indications on how to manage individual patients affected by VTE.