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RISK
FACTORS FOR VENOUS THROMBOEMBOLIC DISEASE
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E.
Kurtalić, M. Dilić, S. Pehar and D. Kočo
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| CInstitute
of Vascular Diseases, Clinical Center University of Sarajevo,
Bosnia and Herzegovina |
Introduction:
Independent from three classic Wirchows factors for deep venous
thrombosis (stasis, hypercoagulability and changes in venous wall),
there is several other factors that can, in different ways, promote
development of DVT. They are well documented, thus the mechanism
of every factor is not clear in every detail. Objective: The aim
of our work was to check frequency of several risk factors among
our DVT patients treated in our Institute and to evaluate their
respective significancy. Methods and material: We have take anamnestic
data from patients with DVT treated in our clinic in period 12/1999-12/2000.
This data included previous thrombosis, concomitant malignant
disease, therapy with estrogenes and smoking. Total count of patients
was 88 (M 47, F 41). Average age was 55 with SD 14,99. RESULTS:
We had 41 patients with iliacofemoral thrombosis, 41 patients
with crural thrombosis, 4 patients with brachio-subclavial thrombosis
and 2 patients with jugular thrombosis. 18 patients had history
of previous vein thrombosis, 18 patients with concomitant malignant
disease, 38 patients were smokers and in only one case (out of
47 male patients), we could link DVT with taking of estrogenes.
Conclusion: We have found that history of previous vein thrombosis
and malignant disease are significant factors for development
of DVT. From the other side, we could not proove smoking as risk-factor
for DVT because of its widespreading in the population. We had
too small group of DVT patients taking estrogenes, so we could
not assess significancy of estrogene therapy as risk-factor for
DVT.
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