Heparin-induced thrombocytopenia causes: Difference between revisions

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{{Heparin-induced thrombocytopenia}}
{{Heparin-induced thrombocytopenia}}
{{CMG}}; '''Associate Editor-In-Chief:''' {{CZ}}, Aric C. Hall, M.D., [mailto:achall@bidmc.harvard.edu]
{{CMG}}; '''Associate Editor-In-Chief:''' {{CZ}}, Aric C. Hall, M.D., [mailto:achall@bidmc.harvard.edu] {{shyam}}
 
==Overview==
==Overview==
[[Heparin-induced thrombocytopenia]] is diagnosed when the [[platelet]] count falls by > 50% typically after 5-10 days of [[heparin]] therapy. The causes of the condition depends on type of heparin ([[unfractionated heparin]] > [[low molecular weight heparin]]), duration of therapy, females and type of patients (commoner in surgical patients that require large amount of heparin)
[[Heparin-induced thrombocytopenia]] is caused by a variety of factors. It is typically caused by unfractionated heparin (moreso than low-molecular weight heparin). Females are more likely to develop HIT. Patients undergoing cardiac surgery are more likely to develop HIT.
 
==Causes==
==Causes==
* Duration of heparin treatment; long duration, up to 2 weeks is associated with the greatest risk.  
* HIT is always caused by exogenous heparin or heparinoid exposure.
* The type of heparin involved; unfractionated heparin[[UFH]] has a greater risk than [[low molecular weight heparin]] LMWH.
* Duration of [[heparin]] treatment: long duration, up to 2 weeks is associated with the greatest risk.<ref name="pmid23714311">{{cite journal| author=Lee GM, Arepally GM| title=Diagnosis and management of heparin-induced thrombocytopenia. | journal=Hematol Oncol Clin North Am | year= 2013 | volume= 27 | issue= 3 | pages= 541-63 | pmid=23714311 | doi=10.1016/j.hoc.2013.02.001 | pmc=3668315 | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=23714311  }} </ref>
* The type of patient; surgical patients are at higher risk than medical; cardiac surgical patients have the highest risk of all.
* The type of [[heparin]] involved: unfractionated heparin ([[UFH]]) puts patients at greater risk of HIT than [[low molecular weight heparin]] LMWH.<ref name="pmid23714311">{{cite journal| author=Lee GM, Arepally GM| title=Diagnosis and management of heparin-induced thrombocytopenia. | journal=Hematol Oncol Clin North Am | year= 2013 | volume= 27 | issue= 3 | pages= 541-63 | pmid=23714311 | doi=10.1016/j.hoc.2013.02.001 | pmc=3668315 | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=23714311  }} </ref>
* Females have a higher risk.


==Reference==
==Reference==
{{Reflist|2}}
{{Reflist|2}}


[[Category:Drugs]]
[[Category:Hematology]]
[[Category:Hematology]]
[[Category:Up-To-Date]]
 
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Latest revision as of 15:23, 18 August 2017

Heparin-induced thrombocytopenia

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor-In-Chief: Cafer Zorkun, M.D., Ph.D. [2], Aric C. Hall, M.D., [3] Shyam Patel [4]

Overview

Heparin-induced thrombocytopenia is caused by a variety of factors. It is typically caused by unfractionated heparin (moreso than low-molecular weight heparin). Females are more likely to develop HIT. Patients undergoing cardiac surgery are more likely to develop HIT.

Causes

  • HIT is always caused by exogenous heparin or heparinoid exposure.
  • Duration of heparin treatment: long duration, up to 2 weeks is associated with the greatest risk.[1]
  • The type of heparin involved: unfractionated heparin (UFH) puts patients at greater risk of HIT than low molecular weight heparin LMWH.[1]

Reference

  1. 1.0 1.1 Lee GM, Arepally GM (2013). "Diagnosis and management of heparin-induced thrombocytopenia". Hematol Oncol Clin North Am. 27 (3): 541–63. doi:10.1016/j.hoc.2013.02.001. PMC 3668315. PMID 23714311.

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