Role of new oral antithrombin in management of thrombophilia presented with multiple infarctions (cerebral, myocardial and pulmonary embolism)

Background: Thromboembolic disease is a major cause of mortality and morbidity Current anticoagulant therapies have several caveats in the clinical use. New oral antithrombin (Dabigatran) provides comparable or superior thromboprophylaxis in multiple thromboembolic disease indications compared to st...

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Main Authors: Mohamed Abdelwahab, Ayman El-Dib, Mohamed Hantera, Ayman A. Al-azzouny
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2015-01-01
Series:Egyptian Journal of Chest Disease and Tuberculosis
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S0422763814200537
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author Mohamed Abdelwahab
Ayman El-Dib
Mohamed Hantera
Ayman A. Al-azzouny
author_facet Mohamed Abdelwahab
Ayman El-Dib
Mohamed Hantera
Ayman A. Al-azzouny
author_sort Mohamed Abdelwahab
collection DOAJ
description Background: Thromboembolic disease is a major cause of mortality and morbidity Current anticoagulant therapies have several caveats in the clinical use. New oral antithrombin (Dabigatran) provides comparable or superior thromboprophylaxis in multiple thromboembolic disease indications compared to standard of care. Aim of this work: To evaluate the role of a new oral antithrombin, in management of thrombophilia presented with multiple infarctions (cerebral infarction, myocardial infarction, pulmonary embolism or infarction). Patient and methods: This work was done on 100 patients with thrombophilia associated with multiple infarctions (cerebral infarction, myocardial infarction, pulmonary embolism or infarction). They were divided into 2 groups Group I: treated by LMW heparin. Group II: treated by dabigatran. The following was done for all patients. Thorough history taking, complete physical examination, investigations including CT, D Dimer, INR, APTT, Platelet count, Chest X ray P/A and lateral view, CT chest and/or Brain, ECG, CKMB and troponin when needed. Results: The percentage of Stroke/TIA, AF/MI, PE, mixed and peripheral thrombotic events were 30, 24, 23, 26 and 6 patients respectively.
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spelling doaj.art-ac358ca5c2e64352b5c5d97873e2dd742022-12-21T17:59:16ZengWolters Kluwer Medknow PublicationsEgyptian Journal of Chest Disease and Tuberculosis0422-76382015-01-0164125525910.1016/j.ejcdt.2014.11.010Role of new oral antithrombin in management of thrombophilia presented with multiple infarctions (cerebral, myocardial and pulmonary embolism)Mohamed Abdelwahab0Ayman El-Dib1Mohamed Hantera2Ayman A. Al-azzouny3Department of Chest Dis., Tanta University, EgyptDepartment of Chest Dis., Tanta University, EgyptDepartment of Chest Dis., Tanta University, EgyptDepartment of Neurology Medicine, Misr University for Sciences and Technology, EgyptBackground: Thromboembolic disease is a major cause of mortality and morbidity Current anticoagulant therapies have several caveats in the clinical use. New oral antithrombin (Dabigatran) provides comparable or superior thromboprophylaxis in multiple thromboembolic disease indications compared to standard of care. Aim of this work: To evaluate the role of a new oral antithrombin, in management of thrombophilia presented with multiple infarctions (cerebral infarction, myocardial infarction, pulmonary embolism or infarction). Patient and methods: This work was done on 100 patients with thrombophilia associated with multiple infarctions (cerebral infarction, myocardial infarction, pulmonary embolism or infarction). They were divided into 2 groups Group I: treated by LMW heparin. Group II: treated by dabigatran. The following was done for all patients. Thorough history taking, complete physical examination, investigations including CT, D Dimer, INR, APTT, Platelet count, Chest X ray P/A and lateral view, CT chest and/or Brain, ECG, CKMB and troponin when needed. Results: The percentage of Stroke/TIA, AF/MI, PE, mixed and peripheral thrombotic events were 30, 24, 23, 26 and 6 patients respectively.http://www.sciencedirect.com/science/article/pii/S0422763814200537Thromboembolic diseaseOral antithrombinThrombophliaThromboprophylaxisDabigatran
spellingShingle Mohamed Abdelwahab
Ayman El-Dib
Mohamed Hantera
Ayman A. Al-azzouny
Role of new oral antithrombin in management of thrombophilia presented with multiple infarctions (cerebral, myocardial and pulmonary embolism)
Egyptian Journal of Chest Disease and Tuberculosis
Thromboembolic disease
Oral antithrombin
Thrombophlia
Thromboprophylaxis
Dabigatran
title Role of new oral antithrombin in management of thrombophilia presented with multiple infarctions (cerebral, myocardial and pulmonary embolism)
title_full Role of new oral antithrombin in management of thrombophilia presented with multiple infarctions (cerebral, myocardial and pulmonary embolism)
title_fullStr Role of new oral antithrombin in management of thrombophilia presented with multiple infarctions (cerebral, myocardial and pulmonary embolism)
title_full_unstemmed Role of new oral antithrombin in management of thrombophilia presented with multiple infarctions (cerebral, myocardial and pulmonary embolism)
title_short Role of new oral antithrombin in management of thrombophilia presented with multiple infarctions (cerebral, myocardial and pulmonary embolism)
title_sort role of new oral antithrombin in management of thrombophilia presented with multiple infarctions cerebral myocardial and pulmonary embolism
topic Thromboembolic disease
Oral antithrombin
Thrombophlia
Thromboprophylaxis
Dabigatran
url http://www.sciencedirect.com/science/article/pii/S0422763814200537
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AT mohamedhantera roleofneworalantithrombininmanagementofthrombophiliapresentedwithmultipleinfarctionscerebralmyocardialandpulmonaryembolism
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