HYPERCOAGULABILITY Flashcards
primary hyper coagulability is genetic or acquired?
genetic
secondary hyper coagulability is genetic or acquired?
acquired
what are the examples of primary hyper coagulability?
factor V mutation prothrombin mutation antithrombin III deficiency protein C or S deficiency defects in fibrinolysis
what are the examples of secondary hyper coagulability?
immobilization myocardial infarction tissue damage (surgery) cancer lupus anticoagulant late pregnancy and delivery oral contraceptives thrombocytopenia
leiden mutation is what mutation?
factor V mutation
5-fold increased risk of venous thrombosis
heterozygotes factor V mutation
50-fold increased risk of venous thrombosis
homozygous factor V mutation
increased thrombin circulating resulting in amplification of coagulation cascade/clotting mechanisms
prothrombin mutation
acts with heparin to cause anti-coagulant effects (Vii K independent)
antithrombin III deficiency
increased risk of DVT, made in the liver and required vitamin K to function
protein C or S deficiency
can’t break down clots
defects in fibrinolysis