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What Is Deep Vein Thrombosis (DVT)? • DVT is a blood clot that forms in a vein deep in the body • Most often occurs in the deep veins of the legs. causing pulmonary embolism (PE) . either above the knee or below it • The blood clot or part of it can break free (called embolism) and become lodged in the blood vessels of the lung.
Available at: http://www. Curr Opin Pulm Med.apha.10:356-365.580 1. American Public Health Association. American Cancer Society. 6.org. of Deaths Up to 200. Available at: http://www.org/news/press/2003/DVT_whitepaper.DVT: A National Public Health Crisis1 • Up to 2 million people in the United States suffer from DVT every year 2. Gerotziafas GT. more people than AIDS and breast cancer combined 2-6 Some Causes of Death in the US PE AIDS Breast cancer Annual No. 2.3 • Complications of DVT.pdf.cancer.cdc.000 people each year. 2004. 1991. Arch Intern Med. Clin Appl Thromb Hemost. 3.gov. 1999. Available at: http://www. Bick RL.000 16. kill up to 200. 5. .151:933-938. 4.371 40.5:2-9. Centers for Disease Control. Anderson FA Jr. such as PE.
1995. or hip or knee replacement) • Obesity • Previous DVT or PE • A family history of blood clots7 • Certain heart problems • Varicose veins • Faulty blood clotting is an uncommon cause — an example is an inherited condition that causes the blood to clot more easily than usual (factor V Leiden) The more risk factors a person has. Kibel AS. 8. American Public Health Association. Available at: http://www. pelvis.apha.org/news/press/2003/DVT_whitepaper. Chest. J Urol. 2004.Some Risk Factors for DVT1 • Illness or injury that causes prolonged immobility increases the risk of a DVT • Age >40 years (VTE risk increases with advancing age) • Birth control pills and hormone replacement therapy • Cancer and its treatment • Major surgery (example: abdomen. the greater the chances may be of developing DVT8 1.126(suppl):338S-400S. 7. .153:1763-1774. Geerts WH.pdf.
the pain is usually in 1 leg and may only be present when standing or walking • Skin that is warm to the touch in the leg • Red or discolored skin PE • • • • • Unexplained shortness of breath Chest pain and/or palpitations Anxiety and/or sweating Coughing/coughing up blood Fatigue and/or fainting Not all people with DVT have signs or symptoms1 1.pdf. American Public Health Association.org/news/press/2003/DVT_whitepaper.apha.Symptoms of DVT and PE1 DVT • Swelling of the leg • Pain or tenderness in the leg. Available at: http://www. .
and your recent activities • He or she will conduct a physical examination • If DVT is suspected. previous illnesses. the medicines you are taking.Diagnosing DVT • Diagnosis may begin by confirming that you have risk factors for DVT • Your doctor will ask about your general health. including past episodes of DVT. additional tests will be needed to confirm the diagnosis .
such as PE • The main goals in treating DVT are to help: – Stop the clot from getting larger – Reduce the chance of having another clot develop – Prevent the clot from breaking off in your vein and moving to your lungs .Treating DVT • Treatment of DVT can help reduce the risk of complications.
Treating DVT • Drugs – Anticoagulants (blood thinners) – Thrombolytic agents (drugs used to dissolve blood clots) • Practical measures – Elevate the affected leg whenever possible – Apply heat to relieve pain and reduce swelling – Wear compression stockings or support hose – Avoid long periods of immobility .
Preventing DVT • The good news is that DVT may be prevented • If you are planning to have surgery or an extended hospital stay. ask your doctor what you can do to reduce your risk of DVT. as directed by your doctor . Some examples could be: – Getting out of bed and moving around as soon as possible after having surgery or being ill – Taking medicines to prevent clots during certain illnesses in the hospital or surgery.
and to stop the clot from breaking off in your vein and moving to your lungs • Medicines are used to treat DVT and help reduce the risk of DVT . the greater the chances may be of developing DVT • Not all people with DVT have symptoms • The main goals in treating DVT are to stop the clot from getting bigger. to decrease your chance of having another clot.Summary • • • • DVT is a blood clot that forms in a vein deep in the body The clot or part of it may break off and travel to the lung Many conditions may increase your risk for deep vein clots The more risk factors a person has.
or who has ever had a blood clot. exercise routine. should talk to a doctor about DVT and its prevention . or surgery. diet. injury. and medications • Anyone who’s off his or her feet due to illness.Talk to Your Doctor • It’s important to share your concerns about cardiovascular health and DVT with your doctor • Ask questions and be prepared to provide accurate information about your lifestyle.
visit www.Remember… • DVT doesn't have to happen to you it may be prevented • DVT may be treated if it does happen For more information. or call 1-888-DVT-NET-1 .preventdvt.dvt. www.net.org.
and Blood Institute (NHLBI) www.svmb.org National Heart.americanheart.com University of Massachusetts Medical School www.org American Obesity Association (AOA) www.nhlbi.gov Society for Vascular Medicine and Biology (SVMB) www.dvt.spotlighthealth.obesity.org Spotlight Health www.org .nih. Lung.Additional Resources American Heart Association (AHA) www.
Accessed November 9. 2. 3.org/docroot/STT/content/STT_1x_Breast_Cancer_Facts_Figures_2003-2004. 2004. et al. A population-based perspective of the hospital incidence and case-fatality rates of deep vein thrombosis and pulmonary embolism: the Worcester DVT Study. American Public Health Association. Pathogenesis and prophylaxis of postoperative thromboembolic disease in urological pelvic surgery. Deep-vein thrombosis: advancing awareness to protect lives. 2003. 1995. DC. Arch Intern Med. Therapy for venous thrombosis: guidelines for a competent and cost-effective approach.pdf. Cases of HIV infection and AIDS in the United States. Available at: http://www. Public Health Leadership Conference on Deep-Vein Thrombosis. White paper.5:2-9.org/news/press/2003/DVT_whitepaper. 2002. Wheeler HB. Clin Appl Thromb Hemost. LOV-SL-18537-1 [CODE] . Pineo GF. 2004. Heit JA.cdc. Accessed November 9. J Urol.apha.cancer.151:933-938. Kibel AS. 8. Vol. Loughlin KR. 4.gov/hiv/stats/hasr1402. Available at: http://www. 2004. 1991. 2004. Bick RL. Prophylaxis of venous thromboembolism in medical patients. 2004. American Cancer Society. HIV/AIDS Surveillance Report. Geerts WH. Anderson FA Jr. February 20. 1999. Gerotziafas GT. The Seventh ACCP Conference on Antithrombotic and Thrombolytic Therapy. Breast Cancer Facts & Figures 2003-2004. et al. Chest.asp. 7.14. Goldberg RJ. 5.References 1. Available at: http://www.10:356-365. Samama MM. Washington.htm.126(suppl):338S-400S. Prevention of venous thromboembolism. 6. Centers for Disease Control and Prevention. Accessed November 9.153:1763-1774. Curr Opin Pulm Med.