Pulmonary embolism recurrence

Revision as of 19:49, 21 July 2011 by WikiBot (talk | contribs) (New page: {{Pulmonary embolism}} {{CMG}} '''Associate Editors-in-Chief:''' Ujjwal Rastogi, MBBS [mailto:urastogi@perfuse.org] '''''Synonyms and keywords:''''' PE ==[[P...)
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]

Associate Editors-in-Chief: Ujjwal Rastogi, MBBS [2]

Synonyms and keywords: PE

Follow-Up/Recurrence

After a first PE, the search for secondary causes is usually brief. Only when a second PE occurs, and especially when this happens while still under anticoagulant therapy, a further search for underlying conditions is undertaken. This will include testing ("thrombophilia screen") for Factor V Leiden mutation, antiphospholipid antibodies, protein C and S and antithrombin levels, and later prothrombin mutation, MTHFR mutation, Factor VIII concentration and rarer inherited coagulation abnormalities.

For prevention of recurrences, when patients are admitted to medical wards or when patients undergo surgery, their physicians should prescribe prophylactic measures to prevent PE. After hospital discharge, prophylaxis should continue for about a month for patients at high risk of thromboembolism.

References

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