ESC : Venous Thrombo-embolism Flashcards
Maternal Risk for VTE
VTE 0.05-0.20%
Maternal Risk for PE
0.03%
Mortality rates VTE
0.5%
Mortality rates forPE
1,26: 100 000 uk
Reoccurance rate
7.6%
Risk factors for VTE classification
Risk factors VTE: high-risk factors
unprovoked or oestrogen-related
Prevention of VTE
LMWH- enoxaparin 0.5IU/kg/ day
S.E of unfractinated heparin
bone loss than ,and the osteoporotic fracture rate is lower 0.04% of pregnant women treated with LMWH.
Management of acute venous thrombo-embolism: PE presentation
Dyspnoea Chest pain Tachycardia Haemoptysis Collapse
Management of acute venous thrombo-embolism: PE diagnosis
A high index of suspicion is important
imaging remains the diagnostic test of choice during pregnancy.
Management of acute venous thrombo-embolism: PE D dimer
- D-dimerlevels increase physiologically with each trimester.
- a positive D-dimer tes tin pregnancy is not necessarily indicative
- A negative D-dimer test helps to exclude VTE
- but normal D-dimer concentrations have been reported in pregnant women with VTE,
Management of acute venous thrombo-embolism: PE modified Wells score
Management of acute venous thrombo-embolism: PE U/S
Compression 7/s ^ sensitivity & specificity for proximal dvt
Management of acute venous thrombo-embolism: PE MRI
If u/s inconclusive