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Mayo Clinic Talks

Venous Thrombosis (DVT)

Sep 10, 2024
Ana I. Casanegra, M.D., M.S., a vascular medicine specialist from the Mayo Clinic, dives into the world of venous thrombosis. She discusses the historical understanding of the condition and its serious complications, particularly pulmonary embolism. Key topics include risk factors like age and lifestyle, symptoms to watch for, and essential diagnostic tools. Dr. Casanegra also explores treatment options, including anticoagulants, while emphasizing the importance of personalized patient care and adherence to treatment strategies.
27:30

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Quick takeaways

  • Venous thrombosis, especially in seniors, underscores the significance of age and other risk factors like immobility and hormonal therapies.
  • Effective DVT management requires thorough evaluation, shared decision-making regarding anticoagulants, and tailored treatment plans for confirmed cases.

Deep dives

Understanding Venous Thrombosis Risk Factors

Venous thrombosis, particularly deep vein thrombosis (DVT), poses a significant risk to individuals, with age being a noteworthy factor in its prevalence. Adults over the age of 60 have a much higher likelihood of experiencing DVT compared to younger individuals, with the ratio being one in 180 for seniors versus one in 10,000 for those around 20 years old. Other key risk factors include cancer, prolonged immobility, surgeries, and the use of hormonal therapies, including contraceptives and during pregnancy. Highlighting specific situations, healthcare providers often observe increased instances of thrombosis in patients recovering from hip fractures in nursing homes due to extended periods of bed rest.

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