MedWire News - Thrombosis
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Cangrelor not CHAMPION for PCI patients
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Two CHAMPION trials show disappointing results for the novel fast-acting intravenous platelet inhibitor cangrelor before or after percutaneous coronary intervention, with no reduction in the rate of death, myocardial infarction, or revascularization at 48 hours compared with clopidogrel treatment. (Source: MedWire News - Thrombosis)
Source: MedWire News - Thrombosis - November 20, 2009 Category: Internal Medicine Source Type: news
RE-DEEM: Dabigatran causes no safety concerns in phase II ACS trial
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When added to dual anti-platelet therapy, the orally administered direct thrombin inhibitor, dabigatran etexilate, results in a “low and acceptable bleeding rate” compared with placebo in patients who have suffered an acute myocardial infarction, according to data presentedat the American Heart Association 2009 Scientific Sessions in, Orlando, Florida, USA. (Source: MedWire News - Thrombosis)
Source: MedWire News - Thrombosis - November 19, 2009 Category: Internal Medicine Source Type: news
HeartMate II: Continuous-flow left ventricular assist device outperforms pulsatile-flow device in advanced heart failure
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A continuous-flow left ventricular assist device achieved superior outcomes to a pulsatile-flow LVAD in patients with advanced heart failure. In the HeartMate II Destination Therapy clinical trial, 2-year survival for patients implanted with the continuous-flow device was more than double that of patients implanted with the pulsatile-flow device. (Source: MedWire News - Thrombosis)
Source: MedWire News - Thrombosis - November 18, 2009 Category: Internal Medicine Source Type: news
FAIR-HF: Intravenous iron improves chronic heart failure outcomes
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Intravenous iron treatment improves multiple clinical outcomes in patients with chronic heart failure and reduced left ventricular ejection fraction, regardless of whether or not they also have anemia, according to data from the FAIR-HF study. (Source: MedWire News - Thrombosis)
Source: MedWire News - Thrombosis - November 18, 2009 Category: Internal Medicine Source Type: news
No improvement in post-op CV events with liberal RBC transfusion strategy
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A liberal strategy of red blood cell transfusion in cases of moderate anemia does not result in better postoperative cardiovascular outcomes compared with a more restrictive strategy of transfusion based primarily on symptomatic anemia in elderly surgical patients, FOCUS trial results show. (Source: MedWire News - Thrombosis)
Source: MedWire News - Thrombosis - November 17, 2009 Category: Internal Medicine Source Type: news
CASCADE: No added benefit with clopidogrel for saphenous vein grafts after CABG
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The addition of clopidogrel to aspirin failed to significantly reduce intimal hyperplasia in the saphenous vein grafts of patients who underwent coronary artery bypass graft compared with aspirin alone. (Source: MedWire News - Thrombosis)
Source: MedWire News - Thrombosis - November 17, 2009 Category: Internal Medicine Source Type: news
PLATO: Ticagrelor benefits seen in STEMI subanalysis
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The investigational oral antiplatelet therapy ticagrelor significantly reduces the risk for major cardiovascular events and all-cause mortality compared with clopidogrel in patients with ST-segment elevation myocardial infarction and planned primary percutaneous coronary intervention, a predefined subanalysis of the PLATO trial shows. (Source: MedWire News - Thrombosis)
Source: MedWire News - Thrombosis - November 16, 2009 Category: Internal Medicine Source Type: news
POPULAR defines platelet function assays predictive of clopidogrel outcomes
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Researchers report that three available platelet function assays can identify patients receiving dual antiplatelet therapy who are at increased risk for major cardiovascular events related to poor clopidogrel response. (Source: MedWire News - Thrombosis)
Source: MedWire News - Thrombosis - November 16, 2009 Category: Internal Medicine Source Type: news
CDT should be ‘first-line treatment’ for acute massive PE
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Catheter-directed therapy should be the first-line treatment option for patients with acute, massive pulmonary embolism attending hospitals with experienced physicians, US researchers say. (Source: MedWire News - Thrombosis)
Source: MedWire News - Thrombosis - November 14, 2009 Category: Internal Medicine Source Type: news
Pulmonary hypertension more common than thought after submassive PE
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Signs or symptoms of pulmonary hypertension may be more common after submassive pulmonary embolism than previously thought, US researchers have found. (Source: MedWire News - Thrombosis)
Source: MedWire News - Thrombosis - November 13, 2009 Category: Internal Medicine Source Type: news
All obesity measures predict VTE risk
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All measures of obesity predict the risk for venous thrombembolism, not just the most commonly used marker of body mass index, research suggests. (Source: MedWire News - Thrombosis)
Source: MedWire News - Thrombosis - November 11, 2009 Category: Internal Medicine Source Type: news
Extended PROLONG study follow-up supports continued VKA therapy
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Extended follow-up results of the PROLONG study confirms the benefit of continuing anticoagulation in patients with an elevated D-dimer level 1 month after finishing treatment for idiopathic venous thromboembolism. (Source: MedWire News - Thrombosis)
Source: MedWire News - Thrombosis - November 9, 2009 Category: Internal Medicine Source Type: news
Coagulation markers predict acute MI outcome
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Patients with myocardial infarction have higher levels of key coagulation markers at time of hospital admission than healthy individuals, with the highest levels found in patients with a poor outcome, researchers say. (Source: MedWire News - Thrombosis)
Source: MedWire News - Thrombosis - November 7, 2009 Category: Internal Medicine Source Type: news
D-dimer levels allow short-term PE risk stratification
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D-dimer levels can help stratify the short-term risk for mortality in patients with pulmonary embolism, Spanish researchers have found. (Source: MedWire News - Thrombosis)
Source: MedWire News - Thrombosis - November 6, 2009 Category: Internal Medicine Source Type: news
Prothrombin fragment F1+2 linked to atherosclerosis development
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Researchers have found a positive association between carotid artery intima media thickness and levels of prothrombin fragment 1+2 in patients with myocardial infarction. (Source: MedWire News - Thrombosis)
Source: MedWire News - Thrombosis - November 4, 2009 Category: Internal Medicine Source Type: news
D-dimer testing valuable in renal dysfunction patients
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D-dimer testing is worthwhile in patients with mild or moderately impaired renal function and suspicion of pulmonary embolism, Dutch researchers say, even though the test has a significantly lower specificity than in patients with healthy kidneys. (Source: MedWire News - Thrombosis)
Source: MedWire News - Thrombosis - November 2, 2009 Category: Internal Medicine Source Type: news
LMWH alternative treatment for mechanical valve pregnancy prophylaxis
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Low molecular weight heprin is a feasible option for pregnant women with mechanical heart valves who wish to avoid oral anticoagulation therapy, Canadian researchers believe. (Source: MedWire News - Thrombosis)
Source: MedWire News - Thrombosis - October 30, 2009 Category: Internal Medicine Source Type: news
Guidelines on triple therapy use in ACS need expansion
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US researchers call for improved guidance on use of anticoagulation and dual antiplatelet agent regimens in patients with acute coronary syndromes. (Source: MedWire News - Thrombosis)
Source: MedWire News - Thrombosis - October 29, 2009 Category: Internal Medicine Source Type: news
F11 SNPs influence DVT risk
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Variant forms of the gene encoding factor XI are associated with an increased risk for deep vein thrombosis, shows research published in the Journal of Thormbosis and Haemostasis. (Source: MedWire News - Thrombosis)
Source: MedWire News - Thrombosis - October 28, 2009 Category: Internal Medicine Source Type: news
DVT origin of PE questioned in trauma patients
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US researchers have challenged the belief that pulmonary embolism in trauma patients originates from deep vein thrombosis of the pelvis and proximal lower limb blood vessels. (Source: MedWire News - Thrombosis)
Source: MedWire News - Thrombosis - October 26, 2009 Category: Internal Medicine Source Type: news
P2Y12 inhibitor overcomes high platelet reactivity
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A novel direct-acting P2Y12 inhibitor reversibly overcomes high platelet reactivity in patients on clopidogrel and aspirin therapy who have undergone prior coronary stenting, US researchers report. (Source: MedWire News - Thrombosis)
Source: MedWire News - Thrombosis - October 24, 2009 Category: Internal Medicine Source Type: news
Fixed sub-therapeutic dose LMWH ‘feasible’ for bridging anticoagulation
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The use of fixed sub-therapeutic doses of low molecular weight heparin as a bridging regimen in patients on long-term Vitamin-k Antagonist therapy is associated with a low risk for recurrent thrombosis and major bleeding even in high-risk patients, Italian researchers report. (Source: MedWire News - Thrombosis)
Source: MedWire News - Thrombosis - October 23, 2009 Category: Internal Medicine Source Type: news
Age, BMI, and oral contraceptives predict blood clotting factor activity
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Older age and greater body mass index predict the activity of blood clotting factors VIII, FIX, and FXI, while oral contraceptive use predicts FIX, FXI, and FXII activity, report German researchers. (Source: MedWire News - Thrombosis)
Source: MedWire News - Thrombosis - October 20, 2009 Category: Internal Medicine Source Type: news
Age, congenital heart disease influence coagulation tests in children
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Researchers have found that whole blood coagulation tests used for monitoring unfractionated heparin vary with age and presence of congenital heart disease in children. (Source: MedWire News - Thrombosis)
Source: MedWire News - Thrombosis - October 19, 2009 Category: Internal Medicine Source Type: news
Pharmacist review may boost medical VTE prophylaxis use
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Pharmacists can improve thromboprophylaxis awareness among physicians treating hospitalized patients, suggest results from a clinical trial. (Source: MedWire News - Thrombosis)
Source: MedWire News - Thrombosis - October 16, 2009 Category: Internal Medicine Source Type: news
PE risk highlighted in severely ill swine flu patients
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Computed tomography scanning should be performed in patients severely affected by the swine-origin influenza A virus, say US researchers, who found such patients have an increased risk for pulmonary embolism. (Source: MedWire News - Thrombosis)
Source: MedWire News - Thrombosis - October 15, 2009 Category: Internal Medicine Source Type: news
Elevated troponin and natriuretic peptides equal poor PE prognosis
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Results from two meta-analyses shed light on the role of troponins in the prognosis of pulmonary embolism, suggesting that elevated levels are most useful for predicting a poor outcome when combined with high concentrations of natriuretic peptide. (Source: MedWire News - Thrombosis)
Source: MedWire News - Thrombosis - October 14, 2009 Category: Internal Medicine Source Type: news
Heparin-induced skin reaction frequency highlighted
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Heparin-induced skin lesions are more common than previously thought, report researchers who found the reaction associated with overweight, female gender, and longer duration of heparin therapy. (Source: MedWire News - Thrombosis)
Source: MedWire News - Thrombosis - October 12, 2009 Category: Internal Medicine Source Type: news
Recurrent VTE risk factors do not rule out need for anticoagulation
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Study findings show that no single risk factor for recurrent venous thromboembolism is able to guide the use of anticoagulation therapy. (Source: MedWire News - Thrombosis)
Source: MedWire News - Thrombosis - October 10, 2009 Category: Internal Medicine Source Type: news
Early effective anticoagulation required after mitral MHVR
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Patients undergoing mitral mechanical heart valve replacement have a high risk for early postoperative thromboembolic events, despite systematic use of intravenous unfractionated heparin, French researchers report. (Source: MedWire News - Thrombosis)
Source: MedWire News - Thrombosis - October 9, 2009 Category: Internal Medicine Source Type: news
Pre-hospital high-dose tirofiban reduces early stent thrombosis
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Pre-hospital initiation of high-dose tirofiban halves the incidence of early stent thrombosis in patients undergoing primary percutaneous coronary intervention with stenting, research shows. (Source: MedWire News - Thrombosis)
Source: MedWire News - Thrombosis - October 6, 2009 Category: Internal Medicine Source Type: news
Risk for frailty predicted by D-dimer and tPA
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US researchers have found that markers of coagulation and fibrinolysis significantly predict frailty in postmenopausal women. (Source: MedWire News - Thrombosis)
Source: MedWire News - Thrombosis - October 5, 2009 Category: Internal Medicine Source Type: news
LMWH thromboprophylaxis reduces risk for thrombocytopenia
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Heparin-associated thrombocytopenia is uncommon after treatment for venous thrombembolism, but the risk could be reduced further by using low molecular weight heparin, researchers suggest in the American Journal of Medicine. (Source: MedWire News - Thrombosis)
Source: MedWire News - Thrombosis - October 2, 2009 Category: Internal Medicine Source Type: news
Medical treatment value questioned for operable CTEPH
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Medical pulmonary hypertensive therapy does not benefit most patients with operable chronic thromboembolic pulmonary hypertension, suggest US researchers. (Source: MedWire News - Thrombosis)
Source: MedWire News - Thrombosis - September 29, 2009 Category: Internal Medicine Source Type: news
Vitamin K diet improves oral anticoagulation control
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Focusing on diet can help patients achieve stable anticoagulation, say Brazilian researchers. (Source: MedWire News - Thrombosis)
Source: MedWire News - Thrombosis - September 28, 2009 Category: Internal Medicine Source Type: news
Fibrinolysis efficacy questioned for left-sided PVT in developing countries
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Novel treatments are required for patients with left-sided prosthetic valve thrombosis in developing countries, say clinicians on finding fibrinolysis to be less effective for this indication than previously reported. (Source: MedWire News - Thrombosis)
Source: MedWire News - Thrombosis - September 25, 2009 Category: Internal Medicine Source Type: news
ATTRACT Trial to investigate image-guided DVT treatment
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Image-guided interventional radiology may play an increasing role in the treatment of deep vein thrombosis, suggests a report in the American Journal of Roentgenology. (Source: MedWire News - Thrombosis)
Source: MedWire News - Thrombosis - September 22, 2009 Category: Internal Medicine Source Type: news
Thrombophilia linked to elevated hemoglobin
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Young women carrying the factor V Leiden mutation have elevated hemoglobin levels, say Swedish researchers, who believe the mutation could be an evolutionary quirk. (Source: MedWire News - Thrombosis)
Source: MedWire News - Thrombosis - September 21, 2009 Category: Internal Medicine Source Type: news
Fondaparinux plus thrombolysis feasible for PE treatment
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The factor Xa inhibitor fondaparinux can be used alongside thrombolysis to treat pulmonary embolism, suggests preliminary French research. (Source: MedWire News - Thrombosis)
Source: MedWire News - Thrombosis - September 18, 2009 Category: Internal Medicine Source Type: news
SVG occlusion independent of HIT antibodies
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US research indicates that the antibodies that cause heparin-induced thrombocytopenia do not increase the risk for early saphenous vein graft occlusion in patients undergoing coronary artery bypass graft surgery. (Source: MedWire News - Thrombosis)
Source: MedWire News - Thrombosis - September 15, 2009 Category: Internal Medicine Source Type: news
Variant alleles confer increased risk for VTE in elderly
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Variants coagulation genes may contribute to the increased risk for venous thromboembolism found in older individuals, US researchers suggest. (Source: MedWire News - Thrombosis)
Source: MedWire News - Thrombosis - September 14, 2009 Category: Internal Medicine Source Type: news
Dual antiplatelet therapy best for low TE risk patients after stenting
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Oral anticoagulant therapy regimens in percutaneous coronary intervention and stent implantation patients should be tailored to their risk for thromboembolism, researchers suggest. (Source: MedWire News - Thrombosis)
Source: MedWire News - Thrombosis - September 11, 2009 Category: Internal Medicine Source Type: news
rFVIIa reduces postoperative bleeding
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Recombinant activated factor VII may reduce bleeding after cardiac surgery, suggest study findings published in the journal Circulation. (Source: MedWire News - Thrombosis)
Source: MedWire News - Thrombosis - September 10, 2009 Category: Internal Medicine Source Type: news
VTE risk independent of diabetes diagnosis
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The risk for venous thromboembolism is not elevated by diabetes or related conditions, US research indicates. (Source: MedWire News - Thrombosis)
Source: MedWire News - Thrombosis - September 8, 2009 Category: Internal Medicine Source Type: news
Proximal and distal DVT patients differ in mortality risk
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Patients with proximal deep vein thrombosis have a higher risk for death than those with distal clots, show results from the OPTIMEV study. (Source: MedWire News - Thrombosis)
Source: MedWire News - Thrombosis - September 7, 2009 Category: Internal Medicine Source Type: news
TEG results affected by blood acidosis, low temp
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Hemostasis testing should take into account patient physiologic factors, say scientists who found that thromboelastography results are affected by blood pH and temperature. (Source: MedWire News - Thrombosis)
Source: MedWire News - Thrombosis - September 6, 2009 Category: Internal Medicine Source Type: news
Biomarkers predict VTE risk in cancer patients
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The Vienna Cancer and Thrombosis study shows that venous thromboembolism can be predicted in cancer patients using levels of D-dimer and prothrombin fragment 1+2. (Source: MedWire News - Thrombosis)
Source: MedWire News - Thrombosis - September 3, 2009 Category: Internal Medicine Source Type: news
AAA study finds no benefit of aspirin in asymptomatic atherosclerosis
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Chronic use of low-dose aspirin does not prevent vascular events in people with asymptomatic atherosclerotic disease detected using the ankle brachial index, study findings show. (Source: MedWire News - Thrombosis)
Source: MedWire News - Thrombosis - September 1, 2009 Category: Internal Medicine Source Type: news
proCPU levels alter thrombosis risk in thrombophilic patients
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A variant gene that increases levels of procarboxypeptidase U raises the risk for thrombosis in thrombophilic patients, suggests study findings. (Source: MedWire News - Thrombosis)
Source: MedWire News - Thrombosis - September 1, 2009 Category: Internal Medicine Source Type: news
RE-LY: Dabigatran lowers stroke risk versus warfarin in AF patients
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Treatment with dabigatran significantly reduces stroke risk in comparison with warfarin in patients with atrial fibrillation and at least one risk factor, results of the Randomized Evaluation of Long-term anticoagulant therapY trial show. (Source: MedWire News - Thrombosis)
Source: MedWire News - Thrombosis - September 1, 2009 Category: Internal Medicine Source Type: news
