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An Overview of Thrombophilia and Associated Laboratory Testing.
- Source :
-
Methods in molecular biology (Clifton, N.J.) [Methods Mol Biol] 2017; Vol. 1646, pp. 113-135. - Publication Year :
- 2017
-
Abstract
- Venous thromboembolism, usually entailing deep vein thrombosis, pulmonary embolism, or both, is a complex and multifactorial disorder, in which a number of putative conditions interplay and finally contribute to propel the individual risk over a certain degree, so ultimately culminating in the development of venous occlusive disorders. Thrombophilia is commonly defined as a propensity to develop venous thromboembolism on the basis of an underlying hypercoagulable state attributable to inherited or acquired disorders of blood coagulation or fibrinolysis. The thrombophilic conditions are conventionally classified as inherited (or genetically determined) and acquired. The former include deficiencies of natural anticoagulants such as antithrombin, protein C, protein S, increased values of clotting factors (especially factor VIII), as well as prothrombotic polymorphisms in genes encoding for factor V (i.e., factor V Leiden) and prothrombin. The latter conditions mainly entail antiphospholipid antibody syndrome, malignancy, acquired elevations of coagulation factors or acquired reduction of natural inhibitors, or hyperhomocysteinemia. Deepened knowledge of all potential risk factors, as well as the clear understanding of their role in the pathophysiology of venous thrombosis, are both essential to help achieve a faster and more efficient diagnosis of this condition as well as a more effective prophylaxis of patients at higher risk and treatment of those with manifest disease.
- Subjects :
- Animals
Antiphospholipid Syndrome blood
Antiphospholipid Syndrome complications
Antiphospholipid Syndrome diagnosis
Blood Coagulation
Factor V analysis
Factor V genetics
Hyperhomocysteinemia blood
Hyperhomocysteinemia complications
Hyperhomocysteinemia diagnosis
Lymphoproliferative Disorders blood
Lymphoproliferative Disorders complications
Lymphoproliferative Disorders diagnosis
Myeloproliferative Disorders blood
Myeloproliferative Disorders complications
Myeloproliferative Disorders diagnosis
Neoplasms blood
Neoplasms complications
Neoplasms diagnosis
Polymorphism, Genetic
Prothrombin genetics
Risk Factors
Thrombophilia blood
Thrombophilia genetics
Thrombophilia complications
Thrombophilia diagnosis
Subjects
Details
- Language :
- English
- ISSN :
- 1940-6029
- Volume :
- 1646
- Database :
- MEDLINE
- Journal :
- Methods in molecular biology (Clifton, N.J.)
- Publication Type :
- Academic Journal
- Accession number :
- 28804823
- Full Text :
- https://doi.org/10.1007/978-1-4939-7196-1_9