HEPARIN INDUCED THROMBOCYTOPENIA

BACKGROUND Unfractionated heparin and low-molecular-weight-heparins are commonly prescribed drugsin everyday clinical practice for treatment or prevention of thrombotic diseases. Heparinis used also for providing patency of various catheters. Heparin seldom causes heparininduced thrombocytopenia (HI...

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Main Authors: Matija Kozak, Tadeja Dovč Drnovšek, Tanja Gmeiner Stopar
Format: Article
Language:English
Published: Slovenian Medical Association 2008-03-01
Series:Zdravniški Vestnik
Online Access:http://vestnik.szd.si/index.php/ZdravVest/article/view/915
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author Matija Kozak
Tadeja Dovč Drnovšek
Tanja Gmeiner Stopar
author_facet Matija Kozak
Tadeja Dovč Drnovšek
Tanja Gmeiner Stopar
author_sort Matija Kozak
collection DOAJ
description BACKGROUND Unfractionated heparin and low-molecular-weight-heparins are commonly prescribed drugsin everyday clinical practice for treatment or prevention of thrombotic diseases. Heparinis used also for providing patency of various catheters. Heparin seldom causes heparininduced thrombocytopenia (HIT) and concomitant activation of coagulation cascade.Activated coagulation could result in arterial or venous thrombosis. CONCLUSIONS Unrecognized HIT could be fatal. In HIT diagnostics regular follow-up of platelet values isimportant. When platelet number is decreasing, possibility of HIT should be taken intoaccount. After assessment of the clinical scoring system in HIT probable cases specific testsshould be done. When HIT is confirmed, patients should be treated with anticoagulants.Cumarins should not be used at the beginning, but later in patients with confirmed thromboticevent
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spelling doaj.art-5b79587f48264570b24f10cd76bc8e1f2022-12-22T02:42:39ZengSlovenian Medical AssociationZdravniški Vestnik1318-03471581-02242008-03-01773793HEPARIN INDUCED THROMBOCYTOPENIAMatija KozakTadeja Dovč DrnovšekTanja Gmeiner StoparBACKGROUND Unfractionated heparin and low-molecular-weight-heparins are commonly prescribed drugsin everyday clinical practice for treatment or prevention of thrombotic diseases. Heparinis used also for providing patency of various catheters. Heparin seldom causes heparininduced thrombocytopenia (HIT) and concomitant activation of coagulation cascade.Activated coagulation could result in arterial or venous thrombosis. CONCLUSIONS Unrecognized HIT could be fatal. In HIT diagnostics regular follow-up of platelet values isimportant. When platelet number is decreasing, possibility of HIT should be taken intoaccount. After assessment of the clinical scoring system in HIT probable cases specific testsshould be done. When HIT is confirmed, patients should be treated with anticoagulants.Cumarins should not be used at the beginning, but later in patients with confirmed thromboticeventhttp://vestnik.szd.si/index.php/ZdravVest/article/view/915
spellingShingle Matija Kozak
Tadeja Dovč Drnovšek
Tanja Gmeiner Stopar
HEPARIN INDUCED THROMBOCYTOPENIA
Zdravniški Vestnik
title HEPARIN INDUCED THROMBOCYTOPENIA
title_full HEPARIN INDUCED THROMBOCYTOPENIA
title_fullStr HEPARIN INDUCED THROMBOCYTOPENIA
title_full_unstemmed HEPARIN INDUCED THROMBOCYTOPENIA
title_short HEPARIN INDUCED THROMBOCYTOPENIA
title_sort heparin induced thrombocytopenia
url http://vestnik.szd.si/index.php/ZdravVest/article/view/915
work_keys_str_mv AT matijakozak heparininducedthrombocytopenia
AT tadejadovcdrnovsek heparininducedthrombocytopenia
AT tanjagmeinerstopar heparininducedthrombocytopenia