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* For treatment [[LMWH]] is recommended for initial 3 - 6 months.(Grade 1A)
* For treatment [[LMWH]] is recommended for initial 3 - 6 months.(Grade 1A)
* Later [[warfarin]] can be used after 3-6 months.
* Later [[warfarin]] can be used after 3-6 months.
* Anticoagulation has to be advised until the cancer resolves.
* Anticoagulation should be continued


==References==
==References==

Revision as of 01:42, 7 October 2012

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]

Overview

Special Scenario

Pregnancy

  • LMWH is the preferred treatment. (Grade 1C)
  • Warfarin is contraindicated.
    • Embryopathy is at increased risk at 6 - 12 weeks. (Grade 2C)
  • Continue anticoagulation for 6 weeks or more postpartum. (Grade 1C)
  • Heparin and warfarin are safe for nursing infants.

Cancer

  • Recurrence rate of pulmonary embolism is 30% at one year.
  • For treatment LMWH is recommended for initial 3 - 6 months.(Grade 1A)
  • Later warfarin can be used after 3-6 months.
  • Anticoagulation should be continued

References

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