Skłonność do zakrzepicy
Objawy

Trombofilia to stan charakteryzujący się zwiększoną skłonnością do zakrzepicy, mogący mieć podłoże wrodzone lub nabyte. Najczęstszą manifestacją kliniczną jest zakrzepica żył głębokich (ZŻG) oraz zatorowość płucna (ZP), z objawami takimi jak obrzęk, ból, zaczerwienienie kończyn dolnych oraz nagła duszność i ból w klatce piersiowej w przypadku ZP. Zakrzepy mogą również lokalizować się w nietypowych miejscach, np. żyłach mózgu, wątroby czy nerek, szczególnie u pacjentów z niedoborem antytrombiny. Trombofilia zwiększa ryzyko powikłań ciążowych, takich jak nawracające poronienia, stan przedrzucawkowy, ograniczenie wzrastania płodu oraz przedwczesne oddzielenie łożyska. Ryzyko zakrzepicy jest szczególnie wysokie u osób z mutacją czynnika V Leiden, zwłaszcza w ciąży, gdzie wzrasta około 7-krotnie.

Skłonność do zakrzepicy – definicja

Trombofilia (skłonność do zakrzepicy) to zaburzenie charakteryzujące się zwiększoną tendencją do tworzenia zakrzepów krwi. Stan ten może być wrodzony (dziedziczny) lub nabyty i powoduje, że krew krzepnie łatwiej niż normalnie. Sama trombofilia nie wywołuje objawów, dopóki nie dojdzie do powstania zakrzepu krwi, który może blokować przepływ krwi do narządów, powodując poważne powikłania12. Około 90% osób z trombofilia nigdy nie doświadcza zakrzepicy, jednak niektórzy mogą mieć jeden lub więcej poważnych zakrzepów w ciągu życia3.

Objawy zakrzepicy żylnej

Najczęstszym problemem związanym z trombofilia jest zakrzepica żylna, w szczególności zakrzepica żył głębokich (ZŻG) oraz zatorowość płucna (ZP)4. Objawy zależą od lokalizacji zakrzepu:

Zakrzepica żył głębokich

ZŻG najczęściej występuje w żyłach nóg i objawia się następującymi symptomami56:

  • Obrzęk i bolesność łydki lub nogi
  • Ból nogi, który nasila się przy zginaniu stopy ku górze
  • Ciepło w okolicy zajętej zakrzepem
  • Zaczerwienienie skóry, zwykle z tyłu nogi, poniżej kolana
  • Ból, który intensyfikuje się podczas ruchu

78

ZŻG najczęściej dotyczy tylko jednej nogi, chociaż zdarzają się przypadki obustronnego zajęcia9. W niektórych przypadkach pacjenci mogą wyczuć zakrzep jak węzeł lub sznur pod skórą10.

Zatorowość płucna

Zatorowość płucna powstaje, gdy fragment zakrzepu oderwie się, przemieści przez krążenie i zablokuje tętnicę w płucach. Jest to stan zagrażający życiu, wymagający natychmiastowej pomocy medycznej1112. Objawy ZP obejmują1314:

  • Ból w klatce piersiowej lub górnej części pleców
  • Nagłą duszność
  • Suchy kaszel lub odkrztuszanie krwi
  • Zawroty głowy lub uczucie lekkości w głowie
  • Omdlenia
  • Przyspieszone tętno i oddech
  • Niepokój i lęk
  • Sinica (niebieskawe zabarwienie skóry)

1516

Zakrzepica w nietypowych lokalizacjach

U osób z trombofilia zakrzepy mogą również tworzyć się w rzadkich lokalizacjach1718:

  • Żyły mózgu – mogą powodować objawy neurologiczne, takie jak silne bóle głowy, zaburzenia widzenia, drgawki
  • Żyły narządów jamy brzusznej (wątroba, śledziona, nerki) – powodujące ból brzucha, nudności, wymioty
  • Żyły ramion – powodujące obrzęk i ból kończyny górnej
  • Zespół Budda-Chiariego (zakrzepica żył wątrobowych)19

Zakrzepy w nietypowych miejscach (np. żyły mózgu, wątroby, nerek) są częstsze u pacjentów z niedoborem antytrombiny20.

Zakrzepica tętnicza

Niektóre rodzaje trombofilii mogą również powodować zakrzepicę tętniczą, co może prowadzić do2122:

  • Udaru mózgu (szczególnie w młodym wieku)
  • Zawału mięśnia sercowego
  • Powikłań położniczych

Zakrzepica tętnicza może blokować dopływ krwi do narządów, powodując ich niedokrwienie i uszkodzenie. Może to prowadzić do udarów, zawałów serca i innych stanów zagrażających życiu23.

Powikłania ciążowe związane z trombofilia

Trombofilia jest związana ze zwiększonym ryzykiem powikłań ciążowych2425:

  • Nawracające poronienia (zwłaszcza w drugim i trzecim trymestrze)26
  • Stan przedrzucawkowy (preeklampsja), często związany z niedoborem antytrombiny lub białka S27
  • Ograniczenie wzrastania płodu, związane z mutacją czynnika V Leiden i mutacją genu protrombiny28
  • Przedwczesne oddzielenie łożyska
  • Wewnątrzmaciczna śmierć płodu

Te powikłania ciążowe stanowią około 75% przyczyn zachorowalności i śmiertelności noworodków u kobiet z trombofilia29. Ryzyko zakrzepicy jest około 7-krotnie wyższe u kobiet ciężarnych z czynnikiem V Leiden30.

Progresja zakrzepicy u osób z trombofilia

Ryzyko nawracającej zakrzepicy

Osoby z trombofilia mają zwiększone ryzyko nawracającej zakrzepicy, szczególnie w przypadku3132:

  • Zakrzepicy samoistnej (bez uchwytnych czynników prowokujących)
  • Zakrzepicy w młodym wieku (poniżej 40 lat)
  • Dodatniego wywiadu rodzinnego
  • Zakrzepicy w nietypowych lokalizacjach

Ryzyko nawrotu zakrzepicy jest szczególnie wysokie u pacjentów z zespołem antyfosfolipidowym (APS), który wiąże się z większą częstością nawracającej zakrzepicy żylnej i tętniczej33.

Czynniki zwiększające ryzyko zakrzepicy

Ryzyko zakrzepicy u osób z trombofilia wzrasta w obecności dodatkowych czynników ryzyka3435:

  • Operacje chirurgiczne
  • Unieruchomienie (np. długotrwały lot, hospitalizacja)
  • Ciąża i okres poporodowy
  • Stosowanie doustnych środków antykoncepcyjnych zawierających estrogeny
  • Hormonalna terapia zastępcza
  • Otyłość
  • Nowotwory
  • Urazy

Obecność więcej niż jednego rodzaju trombofilii lub kombinacja trombofilii z innymi czynnikami ryzyka znacznie zwiększa prawdopodobieństwo wystąpienia zakrzepicy36.

Heterozygotyczne i homozygotyczne mutacje

Stopień ryzyka zakrzepicy zależy od tego, czy osoba ma jedną kopię mutacji (heterozygota) czy dwie kopie (homozygota)3738:

  • Heterozygoty mają kilkukrotnie zwiększone ryzyko zakrzepicy
  • Homozygoty mogą mieć 25-50 razy wyższe ryzyko niż populacja ogólna

Osoby homozygotyczne mogą doświadczać zakrzepów częściej i w młodszym wieku niż osoby heterozygotyczne39. Dożywotnie ryzyko zakrzepicy u osoby bez trombofilii wynosi około 12% do 60 roku życia, podczas gdy u osób z niedoborem naturalnych antykoagulantów ryzyko jest znacznie wyższe40.

Zespoły pozakrzepowe

U części pacjentów po przebytej zakrzepicy żył głębokich mogą rozwinąć się długotrwałe powikłania41:

  • Zespół pozakrzepowy – charakteryzujący się przewlekłym bólem, obrzękiem i zmianami skórnymi w zajętej kończynie
  • Żylaki – powiększone żyły powierzchowne, które tworzą się jako objazdy wokół zablokowanych żył głębokich

Zakrzepy w udzie są bardziej narażone na oderwanie i przemieszczenie do płuc niż zakrzepy poniżej kolana lub w ramionach42.

Rzadkie powikłania trombofilii

Do rzadkich objawów i powikłań trombofilii należą43:

  • Purpura piorunująca noworodków – ciężkie zaburzenie krzepnięcia u noworodków, prowadzące do martwicy tkanek i krwawień do skóry i innych narządów, związane z niedoborem białka C
  • Martwica skóry po rozpoczęciu leczenia warfaryną – u pacjentów z niedoborem białka C lub S

44

Wpływ chorób współistniejących na trombofilia

Niektóre choroby mogą zwiększać ryzyko zakrzepicy u osób z trombofilia45:

  • Hiperhomocysteinemia – zwiększa 1,8-krotnie ryzyko nawrotu żylnej choroby zakrzepowo-zatorowej
  • Choroba Hashimoto – 5,3-krotny wzrost ryzyka ŻChZZ
  • Niedokrwistość złośliwa – 3,9-krotny wzrost ryzyka ŻChZZ
  • Toczeń rumieniowaty układowy
  • Zespół antyfosfolipidowy

Dodatkowo, infekcja SARS-CoV-2 u pacjentów z wrodzoną trombofilia może zwiększać ryzyko rozwoju zaburzeń krzepnięcia i ciężkiego przebiegu COVID-1946.

Objawy psychologiczne związane z trombofilia

Badania sugerują, że istnieje związek między objawami depresyjnymi a zwiększonym ryzykiem nawracającej żylnej choroby zakrzepowo-zatorowej u pacjentów z trombofilia47:

  • Klinicznie istotne objawy depresyjne (wynik HADS-D ≥8) występowały u 10% pacjentów
  • 3-punktowy wzrost w skali HADS-D był związany z 44% większym ryzykiem nawrotu ŻChZZ
  • Pacjenci z wyższym poziomem objawów depresyjnych mieli 4,1-krotnie większe ryzyko nawrotu ŻChZZ

Zwiększone ryzyko może występować już przy subklinicznych poziomach objawów depresyjnych48.

Progresja trombofilii wrodzonej i nabytej

Trombofilia wrodzona i nabyta różnią się przebiegiem i możliwością leczenia4950:

  • Trombofilia wrodzona – pacjent będzie ją miał przez całe życie, leczenie polega na zarządzaniu ryzykiem zakrzepicy
  • Trombofilia nabyta – może ustąpić, gdy czynnik, który ją wywołał, zostanie usunięty (np. zaprzestanie stosowania antykoncepcji hormonalnej, wyleczenie choroby podstawowej)51

Wiele osób z trombofilia nigdy nie rozwinie zakrzepicy, ale u niektórych mogą występować nawracające epizody zakrzepowe, szczególnie w młodym wieku52.

Podsumowanie przebiegu trombofilii

Przebieg trombofilii jest bardzo zróżnicowany5354:

  • Wiele osób z trombofilia nigdy nie doświadcza problemów z krzepnięciem
  • Niektóre osoby mogą doświadczyć pojedynczej zakrzepicy
  • U innych może wystąpić seria zagrażających życiu zakrzepów
  • Niektóre typy trombofilii niosą ze sobą znacznie wyższe ryzyko

Około 30% osób, które doświadczają zakrzepicy, nie ma znanych czynników ryzyka, a w około połowie tych przypadków zidentyfikowana zostaje trombofilia55. Pacjenci z trombofilia powinni być świadomi objawów zakrzepicy i natychmiast skonsultować się z lekarzem w przypadku ich wystąpienia56.

Kolejne rozdziały

Zapraszamy do dalszego czytania naszego leksykonu.

Wybierz kolejny rozdział z menu poniżej, aby otworzyć nową podstronę kompedium wiedzy i uzyskać szczegółowe informację o leku, substancji lub chorobie.

  1. 09.04.2026
  2. www.leksykon.com.pl

Materiały źródłowe

  • #1 Thrombophilia: Symptoms & Treatment
    https://my.clevelandclinic.org/health/diseases/21797-thrombophilia
    You may not feel any thrombophilia symptoms unless you get a blood clot. Blood clot symptoms differ in various parts of your body: […] Blood clots can travel all over your body, limiting or blocking blood flow to your organs. This can cause serious problems in your: […] Although your provider cant cure genetic thrombophilia, they can order medicine like blood thinners for you to take for life. This medicine will help you manage your thrombophilia. […] Nearly 90% of people who have thrombophilia never get a blood clot, but some people get one or more serious clots. […] If you inherited thrombophilia, youll have it for life. Other kinds of thrombophilia can improve when you treat the condition that caused it.
  • #2 Thrombophilia
    https://www.nhs.uk/conditions/thrombophilia/
    Most people do not realise they have thrombophilia until it causes a blood clot. […] Symptoms of a blood clot can include: throbbing pain and swelling in your legs and arms (deep vein thrombosis) […] Having repeated miscarriages can also be a symptom of thrombophilia. […] These could be the symptoms of a blood clot in your leg or your lungs. […] You may get pain and swelling in your arm or tummy instead if that’s where the blood clot is. […] Thrombophilia that starts later in life (acquired thrombophilia) can sometimes get better if the underlying cause is treated.
  • #3 Thrombophilia: Symptoms & Treatment
    https://my.clevelandclinic.org/health/diseases/21797-thrombophilia
    You may not feel any thrombophilia symptoms unless you get a blood clot. Blood clot symptoms differ in various parts of your body: […] Blood clots can travel all over your body, limiting or blocking blood flow to your organs. This can cause serious problems in your: […] Although your provider cant cure genetic thrombophilia, they can order medicine like blood thinners for you to take for life. This medicine will help you manage your thrombophilia. […] Nearly 90% of people who have thrombophilia never get a blood clot, but some people get one or more serious clots. […] If you inherited thrombophilia, youll have it for life. Other kinds of thrombophilia can improve when you treat the condition that caused it.
  • #4 Thrombophilia | Enhanced Dental CPD Online
    https://www.dentaljuce.com/shorts-thrombophilia
    The most common conditions associated with thrombophilia are deep vein thrombosis (DVT) and pulmonary embolism (PE), collectively known as venous thromboembolism (VTE). DVT typically occurs in the legs and is characterised by pain, swelling, and redness. The clot may migrate to the lungs, causing PE, which can lead to sudden shortness of breath, chest pain, palpitations, and potentially catastrophic outcomes like collapse and cardiac arrest. […] Thrombosis can also occur in unusual sites such as the veins of the brain, liver, mesentery, kidneys, and arms. Thrombophilia has been linked to recurrent miscarriage and pregnancy complications like intrauterine growth restriction, stillbirth, severe pre-eclampsia, and abruptio placentae. […] Thrombosis results from a combination of factors such as abnormalities in blood vessel walls, blood flow, and blood consistency. Thrombophilia specifically involves abnormalities in blood consistency due to imbalances in coagulation factors. The coagulation process involves a cascade of activations leading to the formation of a fibrin clot, which is regulated by various inhibitors. In thrombophilia, this balance is disturbed, increasing the likelihood of clot formation.
  • #5 Thrombophilia | Clotting Disorders | UC Davis Hemostasis and Thrombosis Center
    https://health.ucdavis.edu/hemophilia/clotting-disorders/thrombophilia.html
    Thrombophilia doesn’t cause any symptoms, so people might not even know they have it unless they have a blood clot. Symptoms of a blood clot depend on where it’s located: […] Symptoms can include: swelling and tenderness in the calf or leg, leg ache or pain, pain that intensifies when the foot is bent upward, area is warm to the touch, skin is red, usually at the back of the leg, below the knee. […] Symptoms of a pulmonary embolism include: chest pain, shortness of breath, lightheadedness, dizziness, dry cough, or coughing up blood or mucus, pain in the upper back, fainting. […] Recurrent miscarriage might also be a sign of thrombophilia.
  • #6 Thrombophilia: Inherited, Symptoms, Screen Test, Treatment, Cause
    https://www.healthline.com/health/thrombophilia
    Thrombophilia doesn’t cause any symptoms, so you might not even know you have it unless you have a blood clot. Symptoms of a blood clot depend on where it’s located: […] Symptoms can include: swelling and tenderness in your calf or leg, leg ache or pain, pain that intensifies if you bend your foot upward, area is warm to the touch, skin is red, usually at the back of the leg, below the knee. […] Symptoms of a pulmonary embolism include: chest pain, shortness of breath, lightheadedness, dizziness, dry cough, or coughing up blood or mucus, pain in the upper back, fainting. […] Recurrent miscarriage might also be a sign that you could have thrombophilia.
  • #7 Thrombophilia in Children | Lurie Children’s
    https://www.luriechildrens.org/en/specialties-conditions/thrombophilia/
    Thrombophilia (sometimes called hypercoagulability) is a condition in which the blood has a higher than normal tendency to clot inside the blood vessels. The condition can be either hereditary (present at birth) or acquired. […] Symptoms of DVT include edema (swelling), leg pain, tenderness, and warmth or redness of the skin over the site. Symptoms of PE included sudden shortness of breath, chest pain and cough (sometimes coughing blood), syncope (fainting), great apprehension and anxiety, fast breathing and heart rate, fever, and blue coloration of the skin. Symptoms of DVT and PE sometimes overlap.
  • #8 Thrombosis (Blood Clots) | Boston Children’s Hospital
    https://www.childrenshospital.org/conditions/thrombosis
    Thrombosis symptoms in children can vary significantly depending on the size and location of the blood clot, and each child may experience symptoms differently. A thrombosis may occur anywhere in a child’s body, but most are in the legs or arms (deep-vein thrombosis or DVT) or lungs (pulmonary embolism). Other types of thrombosis include sinus venous thrombosis and arterial thrombosis. […] Children with a thrombosis in the legs or arms may have the following symptoms: Swelling, Pain, Redness and warmth, Low-grade fever, In some cases, you may even be able feel the clot, like a knot or rope under the skin. […] If a child has a pulmonary embolism, they may experience: Chest pain, Shortness of breath, often beginning suddenly. […] A pulmonary embolus is a life-threatening medical emergency, and you should seek help immediately if you suspect this condition in your child.
  • #9 Thrombophilia Profile Test: Types, Preparation, Price, Range & Treatment
    https://www.tenetdiagnostics.in/blog/post/all-about-thrombophilia-profile-test
    A blood condition called thrombophilia increases the risk of blood clots in the veins and arteries. Your blood clots or coagulates more readily in this disease, which medical professionals refer to as „hypercoagulable.” […] The majority of thrombophiliacs are asymptomatic and never have health issues. Only when thrombophilia results in a blood clot do symptoms manifest. If you have thrombophilia, you have an increased risk of developing a pulmonary embolism, which occurs when a blood clot breaks off, travels through the circulation, and lodges in the arteries supplying the lungs, or deep vein thrombosis, which occurs in one of the main veins in your leg. […] Discomfort, edema, and soreness in your leg, generally in the calf A sharp pain where the clot is located, warm skin around the area of red skin, especially below the knee on the back of your thigh DVT often just affects one leg, though occasionally it doesn’t.
  • #10 Thrombosis (Blood Clots) | Boston Children’s Hospital
    https://www.childrenshospital.org/conditions/thrombosis
    Thrombosis symptoms in children can vary significantly depending on the size and location of the blood clot, and each child may experience symptoms differently. A thrombosis may occur anywhere in a child’s body, but most are in the legs or arms (deep-vein thrombosis or DVT) or lungs (pulmonary embolism). Other types of thrombosis include sinus venous thrombosis and arterial thrombosis. […] Children with a thrombosis in the legs or arms may have the following symptoms: Swelling, Pain, Redness and warmth, Low-grade fever, In some cases, you may even be able feel the clot, like a knot or rope under the skin. […] If a child has a pulmonary embolism, they may experience: Chest pain, Shortness of breath, often beginning suddenly. […] A pulmonary embolus is a life-threatening medical emergency, and you should seek help immediately if you suspect this condition in your child.
  • #11 Thrombophilia | nidirect
    https://www.nidirect.gov.uk/conditions/thrombophilia
    Most people with thrombophilia don’t have symptoms. Symptoms only occur if thrombophilia causes a blood clot. […] If you have thrombophilia, you’re more likely to develop a blood clot in one of the large veins in your leg (deep vein thrombosis) or a pulmonary embolism, where the blood clot breaks off, travels in the circulation and lodges in the arteries supplying the lungs. […] The symptoms of a pulmonary embolism are: chest or upper back pain, shortness of breath, coughing usually dry, but you may cough up blood or mucus containing blood, lightheadedness or dizziness, fainting. […] If you have thrombophilia, you need to be aware of the symptoms of a blood clot and see your GP immediately if you think you have one.
  • #12 Thrombophilia – Blood Clots
    https://www.stoptheclot.org/about-clots/thrombophilia/thrombophilia/
    Many individuals with thrombophilia may never have a clotting problem, while others may experience a life-threatening clot or even a series of them. […] Unfortunately, however, certain types of thrombophilia do carry much higher risks. […] If you experience the signs and symptoms of a blood clot in your leg or arm, you should contact your doctor as soon as possible. […] If you have the signs of a PE, which can be life-threatening, you should seek immediate medical attention. […] DVT and PE have different symptoms that may sometimes be confused with other less serious health problems. […] Sometimes people experience blood clots for no apparent reason. These individuals may have a hidden risk for blood clots called thrombophilia. […] Some individuals have an underlying vulnerability for blood clots known as thrombophilia.
  • #13 Thrombophilia | Clotting Disorders | UC Davis Hemostasis and Thrombosis Center
    https://health.ucdavis.edu/hemophilia/clotting-disorders/thrombophilia.html
    Thrombophilia doesn’t cause any symptoms, so people might not even know they have it unless they have a blood clot. Symptoms of a blood clot depend on where it’s located: […] Symptoms can include: swelling and tenderness in the calf or leg, leg ache or pain, pain that intensifies when the foot is bent upward, area is warm to the touch, skin is red, usually at the back of the leg, below the knee. […] Symptoms of a pulmonary embolism include: chest pain, shortness of breath, lightheadedness, dizziness, dry cough, or coughing up blood or mucus, pain in the upper back, fainting. […] Recurrent miscarriage might also be a sign of thrombophilia.
  • #14 Thrombophilia: Inherited, Symptoms, Screen Test, Treatment, Cause
    https://www.healthline.com/health/thrombophilia
    Thrombophilia doesn’t cause any symptoms, so you might not even know you have it unless you have a blood clot. Symptoms of a blood clot depend on where it’s located: […] Symptoms can include: swelling and tenderness in your calf or leg, leg ache or pain, pain that intensifies if you bend your foot upward, area is warm to the touch, skin is red, usually at the back of the leg, below the knee. […] Symptoms of a pulmonary embolism include: chest pain, shortness of breath, lightheadedness, dizziness, dry cough, or coughing up blood or mucus, pain in the upper back, fainting. […] Recurrent miscarriage might also be a sign that you could have thrombophilia.
  • #15
    https://www.ohri.ca/programs/clinical_epidemiology/TIPPS/tandp.asp?status=print
    Thrombophilias are a common group of disorders that make a person more likely to develop blood clots in the veins of their legs, pelvis or lungs. […] Symptoms of deep vein thrombosis include pain, swelling, redness or warmth in the affected area. […] Symptoms of pulmonary embolism include shortness of breath, chest pain that worsens with a deep breath, fast heart beat, sweating, fainting and coughing with blood in the sputum. […] Pregnant women with thrombophilia have a greater chance of having certain pregnancy complications possibly linked to blood clots in the placentas. […] At the present time, the standard of care for pregnant women with thrombophilia is close monitoring for the development of these pregnancy complications. If these complications occur, they are treated accordingly. However, no treatment has been proven to prevent these complications in pregnant women with thrombophilia.
  • #16 Thrombophilia: treatment | gesund.bund.de
    https://gesund.bund.de/en/thrombophilia
    The symptoms of a pulmonary embolism are sudden breathlessness, chest pain, rapid heartbeat, a drop in blood pressure, coughing up blood and fainting (syncope). […] Often, people with thrombophilia are unaware that they develop more blood clots than normal, as many blood clots simply dissolve naturally on their own. However, sometimes the blood clots disrupt blood flow and cause symptoms. […] If a blood clot occurs, for example, in the leg veins that run at a deep level between the muscle layers, this impairs the flow of blood from the affected leg towards the heart. As a result, more fluid is retained in the tissues, leading to swelling and pains or feelings of tightness in the affected muscles. […] Fresh blood clots may break free and be washed away in the bloodstream. They pass through the right side of the heart and into the lungs, where they block blood vessels, leading to a pulmonary embolism. A severe pulmonary embolism may have a fatal outcome.
  • #17 Thrombosis and Thrombophilia – Seattle Children’s
    https://www.seattlechildrens.org/conditions/thrombosis-thrombophilia/
    Some peoples blood is more likely to form clots. This is called thrombophilia (thrahm-bo-FIL-ee-uh). […] If your child has thrombophilia, they may have: Frequent clots in blood vessels […] Clots in an unusual place (like blood vessels in the liver, kidney or brain) […] The symptoms of a blood clot in a blood vessel depend on: Where the clot is […] If the blood vessel is totally or partly blocked […] Clots in blood vessels deep in the body (DVT) mainly affect the lower leg, with pain and swelling. […] Clots in veins closer to the surface of the skin may cause the area to be warm, red and painful. […] If your child has thrombophilia, they may have: Frequent clots in blood vessels […] Clots in an unusual place (like the liver, kidney or brain).
  • #18 Thrombophilia: Symptoms and Treatment | Doctor
    https://patient.info/doctor/thrombophilia-pro
    Possible symptoms of thrombophilia are: […] A strong family history of VTE. […] VTE which is spontaneous or with minimal provoking factors. […] VTE at a young age. […] Thrombosis in an unusual site (eg, mesenteric, portal vein, sagittal sinus thrombosis) or in multiple sites. […] Recurrent VTE. […] Recurrent miscarriage. […] Neonatal thrombosis (eg, neonatal purpura fulminans – rare). […] Warfarin-induced skin necrosis (rare). […] VTE is a multifactorial disease. The VTE risk depends not only on the specific thrombophilia but also on other factors such as: […] Family history and previous history of VTE. […] The presence of any additional thrombophilia (heritable or acquired). […] Other VTE risk factors (age, immobility, surgery, obesity, hormone use and pregnancy/postpartum states).
  • #19 Thrombophilia: Causes, Symptoms, and Treatment
    https://patient.info/allergies-blood-immune/blood-clotting-tests/thrombophilia
    There are no symptoms unless the thrombophilia results in a blood clot (thrombosis). […] Many people with thrombophilia do not develop a blood clot and have no symptoms at all. […] A blood clot in a vein is the most common problem with thrombophilia – this is called venous thrombosis. Possible symptoms are: Pain and swelling in a leg. This occurs if you have a blood clot in a large vein in a leg. This is commonly known as a deep vein thrombosis (DVT). A DVT can occur in any vein in your body but most often affects a leg vein. […] The blood clot may travel to the heart and on into a lung, causing a pulmonary embolism. Possible symptoms are chest pain, pain on deep breathing, shortness of breath or, rarely, collapse. […] Some types of thrombophilia can cause a blood clot in an unusual site such as the brain, gut or liver. This can cause symptoms in the head or the tummy (abdomen). A blood clot in the liver veins is called Budd-Chiari syndrome.
  • #20 Thrombophilia – Blood Clots
    https://www.stoptheclot.org/about-clots/thrombophilia/thrombophilia/
    The presence of HAD can be established with a blood test. […] Blood clots with antithrombin deficiency occur at an average age of 30 and can appear in unusual locations, such as the veins of the brain or gastrointestinal tract, or in multiple veins simultaneously. […] Approximately 50 percent of people with HAD will experience a blood clot in their lifetime and 40 percent will experience a pulmonary embolism specifically. […] Antiphospholipid syndrome (APS) is a condition that poses particular risks for pregnant women because APS-related blood clots occur most frequently in advance of or in the weeks following childbirth. […] It can lead to miscarriage. […] Unlike most thrombophilias, APS is associated with a higher incidence of recurrent venous blood clots as well as arterial blood clots.
  • #21 Thrombophilia: Causes, Symptoms, and Treatment
    https://patient.info/allergies-blood-immune/blood-clotting-tests/thrombophilia
    A blood clot in an artery can occur with some types of thrombophilia. This is called arterial thrombosis. Depending on which artery is affected, a blood clot in an artery can cause a stroke, a heart attack or problems with the placenta during pregnancy. So the possible symptoms of arterial thrombosis due to thrombophilia are: Having a stroke at a relatively young age. […] Repeated miscarriages. […] Pregnancy problems: pre-eclampsia, reduced fetal growth or, rarely, fetal death (a stillbirth, or intrauterine death). […] A heart attack. […] It is important to remember that all of these conditions can be due to causes other than thrombophilia.
  • #22 Blood Clots With Hemophilia: What Is Thrombophilia? | MyHemophiliaTeam
    https://www.myhemophiliateam.com/resources/blood-clots-with-hemophilia-what-is-thrombophilia
    Pulmonary embolism occurs when a blood clot breaks loose from its original site (like a leg affected by DVT) and enters the lungs, blocking blood flow. This potentially life-threatening condition is a medical emergency that requires immediate treatment. […] Arterial thrombosis happens when a blood clot forms in an artery, which carries blood from your heart to the rest of your body. This type of clot can block blood flow to vital organs, leading to serious consequences. […] At first glance, hemophilia and thrombophilia seem to be opposite conditions. However, people with hemophilia can sometimes also be at risk for blood clots. Multiple factors can cause people with hemophilia to develop thrombophilia. […] Some hemophilia treatments involve infusing clotting factors to prevent bleeding. Using high doses of factor replacement therapy for instance, to treat people with severe hemophilia can raise the risk of clot formation.
  • #23 What Is Thrombophilia? – Klarity Health Library
    https://my.klarity.health/what-is-thrombophilia/
    Another presentation of thrombophilia is a pulmonary embolism. This is when a clot occurs in a vein in the lungs, causing symptoms including shortness of breath and pain during inspiration. […] Thrombophilia can also cause strokes known as ischaemic strokes. Ischaemic stroke occurs when a clot forms in one of the arteries of the brain, blocking off circulation and causing tissue to lose blood flow, causing a phenomenon known as ischaemia. Ischaemia can lead to tissue death in the brain, and therefore cause lifelong brain damage. Symptoms of stroke to watch out for include slurring of speech, weakness of the limbs or face (particularly on one side of the body) and visual changes or vision loss. […] Lastly, clots that form sporadically can lead to heart attacks. They occur when the clot moves to the arteries that supply oxygen to the muscle walls of the heart, known as the coronary arteries. Signs of heart attacks include chest pain that may also be felt in the arms and the shoulder/neck/back, shortness of breath, nausea and vomiting. Considering these symptoms of thrombophilia, it is unsurprising that patients with a diagnosis often have long-term disabilities or chronic health conditions due to repeated clots.
  • #24 Thrombophilia – Wikipedia
    https://en.wikipedia.org/wiki/Thrombophilia
    Thrombophilia has been linked to recurrent miscarriage, and possibly various complications of pregnancy such as intrauterine growth restriction, stillbirth, severe pre-eclampsia and abruptio placentae. […] Protein C deficiency may cause purpura fulminans, a severe clotting disorder in the newborn that leads to both tissue death and bleeding into the skin and other organs. The condition has also been described in adults. Protein C and protein S deficiency have also been associated with an increased risk of skin necrosis on commencing anticoagulant treatment with warfarin or related drugs. […] Whether thrombophilia also increases the risk of arterial thrombosis (which is the underlying cause of heart attacks and strokes) is less well established. However, more recent data suggest some forms of inherited thrombophilia are associated with increased risk for arterial ischemic stroke.
  • #25 Maternal inherited thrombophilia and pregnancy outcomes
    https://pmc.ncbi.nlm.nih.gov/articles/PMC7401936/
    Thrombophilia is a group of genetical disorders that cause blood to clot abnormally. Thrombophilia is linked to recurrent pregnancy loss, foetal growth restriction, late miscarriages, stillbirth and preeclampsia. […] Thrombophilia contributes to more than half of thromboembolic events during pregnancy. […] Thrombophilic defects can be accompanied by the following manifestations: Repeated miscarriages, intrauterine growth restriction, preeclampsia, HELLP syndrome and neonatal fulminant purple. […] Multiple studies have reported an association between thrombophilia defects and adverse pregnancy outcomes, including both preeclampsia and intrauterine growth restriction. […] The most common maternal indication for early termination of pregnancy is preeclampsia, the most common fetal indication for early termination of pregnancy is intrauterine growth restriction accompanied by acute fetal distress.
  • #26 Factor V Leiden thrombophilia: MedlinePlus GeneticsLock
    https://medlineplus.gov/genetics/condition/factor-v-leiden-thrombophilia/
    Factor V Leiden thrombophilia is an inherited disorder of blood clotting. Factor V Leiden is the name of a specific gene mutation that results in thrombophilia, which is an increased tendency to form abnormal blood clots that can block blood vessels. […] People with factor V Leiden thrombophilia have a higher than average risk of developing a type of blood clot called a deep venous thrombosis (DVT). DVTs occur most often in the legs, although they can also occur in other parts of the body, including the brain, eyes, liver, and kidneys. Factor V Leiden thrombophilia also increases the risk that clots will break away from their original site and travel through the bloodstream. These clots can lodge in the lungs, where they are known as pulmonary emboli. […] The factor V Leiden mutation is associated with a slightly increased risk of pregnancy loss (miscarriage). Women with this mutation are two to three times more likely to have multiple (recurrent) miscarriages or a pregnancy loss during the second or third trimester.
  • #27 Thrombophilia: What It Is, Causes, Diagnosis, and Treatment – Synlab
    https://www.synlab-sd.com/en/blog/womens-health-en/thrombophilia-in-pregnancy-what-it-is-and-the-risks-for-pregnancy/
    Thrombophilia during pregnancy and the postpartum period is exacerbated by the pro-coagulant characteristics of these conditions, affecting approximately 15% of the general population. […] Physiological adaptations in the body, blood circulation, and coagulation system during pregnancy increase the risk of thrombosis. This risk is influenced by various factors. […] Among the possible obstetric complications associated with thrombophilic defects, preeclampsia, often related to antithrombin or protein S deficiency, and fetal growth restriction, associated with the Factor V Leiden mutation and the prothrombin gene mutation, stand out. […] Other gestational complications caused by thrombophilia account for approximately 75% of neonatal morbidity and mortality causes, including placental thrombosis, severe forms of gestational hypertension, premature placental abruption, and intrauterine fetal growth restriction, potentially leading to fetal death.
  • #28 Thrombophilia: What It Is, Causes, Diagnosis, and Treatment – Synlab
    https://www.synlab-sd.com/en/blog/womens-health-en/thrombophilia-in-pregnancy-what-it-is-and-the-risks-for-pregnancy/
    Thrombophilia during pregnancy and the postpartum period is exacerbated by the pro-coagulant characteristics of these conditions, affecting approximately 15% of the general population. […] Physiological adaptations in the body, blood circulation, and coagulation system during pregnancy increase the risk of thrombosis. This risk is influenced by various factors. […] Among the possible obstetric complications associated with thrombophilic defects, preeclampsia, often related to antithrombin or protein S deficiency, and fetal growth restriction, associated with the Factor V Leiden mutation and the prothrombin gene mutation, stand out. […] Other gestational complications caused by thrombophilia account for approximately 75% of neonatal morbidity and mortality causes, including placental thrombosis, severe forms of gestational hypertension, premature placental abruption, and intrauterine fetal growth restriction, potentially leading to fetal death.
  • #29 Thrombophilia: What It Is, Causes, Diagnosis, and Treatment – Synlab
    https://www.synlab-sd.com/en/blog/womens-health-en/thrombophilia-in-pregnancy-what-it-is-and-the-risks-for-pregnancy/
    Thrombophilia during pregnancy and the postpartum period is exacerbated by the pro-coagulant characteristics of these conditions, affecting approximately 15% of the general population. […] Physiological adaptations in the body, blood circulation, and coagulation system during pregnancy increase the risk of thrombosis. This risk is influenced by various factors. […] Among the possible obstetric complications associated with thrombophilic defects, preeclampsia, often related to antithrombin or protein S deficiency, and fetal growth restriction, associated with the Factor V Leiden mutation and the prothrombin gene mutation, stand out. […] Other gestational complications caused by thrombophilia account for approximately 75% of neonatal morbidity and mortality causes, including placental thrombosis, severe forms of gestational hypertension, premature placental abruption, and intrauterine fetal growth restriction, potentially leading to fetal death.
  • #30 About Factor V Leiden Thrombophilia
    https://www.genome.gov/Genetic-Disorders/Factor-V-Leiden-Thrombophilia
    Having a DVT or PE and a strong family history of venous thromboembolism. […] Factor V Leiden increases the risk of developing a DVT during pregnancy by about seven-fold. Women with factor V Leiden who are planning pregnancy should discuss this with their obstetrician and/or hematologist. Most women with factor V Leiden have normal pregnancies and only require close follow-up during pregnancy. For those with a history of DVT or PE, treatment with an anticoagulant during a subsequent pregnancy can prevent recurrent problems.
  • #31 Thrombophilia: Symptoms and Treatment | Doctor
    https://patient.info/doctor/thrombophilia-pro
    Possible symptoms of thrombophilia are: […] A strong family history of VTE. […] VTE which is spontaneous or with minimal provoking factors. […] VTE at a young age. […] Thrombosis in an unusual site (eg, mesenteric, portal vein, sagittal sinus thrombosis) or in multiple sites. […] Recurrent VTE. […] Recurrent miscarriage. […] Neonatal thrombosis (eg, neonatal purpura fulminans – rare). […] Warfarin-induced skin necrosis (rare). […] VTE is a multifactorial disease. The VTE risk depends not only on the specific thrombophilia but also on other factors such as: […] Family history and previous history of VTE. […] The presence of any additional thrombophilia (heritable or acquired). […] Other VTE risk factors (age, immobility, surgery, obesity, hormone use and pregnancy/postpartum states).
  • #32 Thrombophilia: Symptoms and Treatment | Doctor
    https://patient.info/doctor/thrombophilia-pro
    The incidence of thrombosis in those with heritable thrombophilia is variable – from none to recurrent VTE at an early age. […] Many individuals with heritable thrombophilia diagnosed only by laboratory investigation will not have a thrombotic event. […] Failure to identify a thrombophilic defect on laboratory testing does not prove that no thrombophilia exists. […] Clinicians may overestimate the risk of thrombosis and underestimate the risks of anticoagulation.
  • #33 Thrombophilia – Blood Clots
    https://www.stoptheclot.org/about-clots/thrombophilia/thrombophilia/
    The presence of HAD can be established with a blood test. […] Blood clots with antithrombin deficiency occur at an average age of 30 and can appear in unusual locations, such as the veins of the brain or gastrointestinal tract, or in multiple veins simultaneously. […] Approximately 50 percent of people with HAD will experience a blood clot in their lifetime and 40 percent will experience a pulmonary embolism specifically. […] Antiphospholipid syndrome (APS) is a condition that poses particular risks for pregnant women because APS-related blood clots occur most frequently in advance of or in the weeks following childbirth. […] It can lead to miscarriage. […] Unlike most thrombophilias, APS is associated with a higher incidence of recurrent venous blood clots as well as arterial blood clots.
  • #34 Thrombophilia – Blood Clots
    https://www.stoptheclot.org/about-clots/thrombophilia/thrombophilia/
    About 30 percent of all people who experience a blood clot have no known risk factors, and in about half of these cases of unprovoked clots, thrombophilia is identified. […] Although thrombophilia increases one’s risk for a blood clot, it by no means guarantees one. […] The lifetime risk of developing DVT is 10 percent or less for certain thrombophilias, but the degree of risk fluctuates based on a number of considerations. […] Heterozygous conditions may increase your blood clot risk several-fold. […] On the other hand, homozygous conditions may multiply your risk by as much as 25 to 50 times the norm. […] When thrombophilias are present in combination with other known blood clot risks, particularly hospitalization, surgery, pregnancy, cancer, or use of estrogen-based medications, the odds of a blood clot are greatly magnified.
  • #35 Prothrombin thrombophilia: MedlinePlus GeneticsLock
    https://medlineplus.gov/genetics/condition/prothrombin-thrombophilia/
    Prothrombin thrombophilia is a disorder that increases the risk of developing blood clots. Thrombophilia is the term used to describe an increased tendency to form blood clots. After an injury, clots protect the body by sealing off damaged blood vessels and preventing further blood loss. People with thrombophilia can develop clots when they are not needed. These clots can block normal blood flow and cause harm. […] People who have prothrombin thrombophilia have a higher-than-average risk of developing a type of clot called a deep vein thrombosis, which typically occurs in the blood vessels of the arms or legs. People with prothrombin thrombophilia also have an increased risk of developing a pulmonary embolism, which is a clot that travels through the bloodstream and lodges in the lungs. […] While many people with prothrombin thrombophilia will never have clotting issues, several factors increase a person’s risk of blood clots. Some risk factors that contribute to the development of harmful blood clots include surgery, injury or trauma, air travel, obesity, and a family history of blood clots. Additional risk factors include pregnancy, using contraceptives such as birth control pills or patches that contain estrogen, and receiving post-menopausal hormone replacement therapy. The combination of prothrombin thrombophilia and other clotting disorders may also increase a person’s risk.
  • #36 Thrombophilia – Blood Clots
    https://www.stoptheclot.org/about-clots/thrombophilia/thrombophilia/
    About 30 percent of all people who experience a blood clot have no known risk factors, and in about half of these cases of unprovoked clots, thrombophilia is identified. […] Although thrombophilia increases one’s risk for a blood clot, it by no means guarantees one. […] The lifetime risk of developing DVT is 10 percent or less for certain thrombophilias, but the degree of risk fluctuates based on a number of considerations. […] Heterozygous conditions may increase your blood clot risk several-fold. […] On the other hand, homozygous conditions may multiply your risk by as much as 25 to 50 times the norm. […] When thrombophilias are present in combination with other known blood clot risks, particularly hospitalization, surgery, pregnancy, cancer, or use of estrogen-based medications, the odds of a blood clot are greatly magnified.
  • #37 Factor V Leiden thrombophilia: MedlinePlus GeneticsLock
    https://medlineplus.gov/genetics/condition/factor-v-leiden-thrombophilia/
    The chance of developing an abnormal blood clot depends on whether a person has one or two copies of the factor V Leiden mutation in each cell. People who inherit two copies of the mutation, one from each parent, have a higher risk of developing a clot than people who inherit one copy of the mutation. […] The presence of one copy of the factor V Leiden mutation increases that risk to 3 to 8 in 1,000, and having two copies of the mutation may raise the risk to as high as 80 in 1,000.
  • #38 The Genetics of Thrombophilia – Blood Clots
    https://www.stoptheclot.org/about-clots/thrombophilia/genetics-of-thrombophilia/
    People who have a mutation in the prothrombin gene produce more prothrombin protein than is normal. Since there is more of the prothrombin protein in the blood, this increases the tendency for clotting. […] If a person is homozygous (that is, he or she inherits a mutation in both copies of their gene, one from each parent) they are at a greater risk to develop a blood clot than an individual who is heterozygous. […] An individual can also have a greater risk to develop a blood clot if they inherit a mutation in more than one of the genes that lead to thrombophilia.
  • #39 Prothrombin thrombophilia: MedlinePlus GeneticsLock
    https://medlineplus.gov/genetics/condition/prothrombin-thrombophilia/
    Individuals who have a variant in one of the two copies of the F2 gene have a risk of developing harmful blood clots that is two to five times greater than average. […] People with two F2 gene variants may also develop harmful blood clots more frequently and at a younger age than people with just one F2 gene variant.
  • #40 Thrombophilia | Enhanced Dental CPD Online
    https://www.dentaljuce.com/shorts-thrombophilia
    The risk of developing thrombosis varies. For instance, the cumulative risk by age 60 is about 12% in those without thrombophilia, but much higher in those with deficiencies in natural anticoagulants. Factor V Leiden and prothrombin mutation carriers have a slightly higher risk, often dependent on additional factors like immobilisation.
  • #41 Thrombosis (Blood Clots) | Boston Children’s Hospital
    https://www.childrenshospital.org/conditions/thrombosis
    It is important to understand that some thrombosis symptoms may resemble those of other more common medical problems. Because some of these symptoms can also point to other conditions, it’s important to have your child evaluated by a qualified medical professional for an accurate diagnosis and prompt treatment. If you have a family history of thrombosis, it is important to bring this up during evaluation for these symptoms. […] Some deep vein thromboses may resolve without treatment. Treatment is given to help get rid of the blood clot and to minimize complications of thrombosis. If the blood clot remains, other veins will enlarge to bypass the blockage. Sometimes these veins are visible, like varicose veins. After a blood clot some people develop long-term pain and swelling in the leg called post-thrombotic syndrome, which is caused by reduced blood flow and damage to the affected vein. […] Blood clots in the thigh are more likely to break off and travel to the lungs than blood clots below the knee or in the arms. A pulmonary embolism can be a life-threatening emergency, requiring immediate medical attention.
  • #42 Thrombosis (Blood Clots) | Boston Children’s Hospital
    https://www.childrenshospital.org/conditions/thrombosis
    It is important to understand that some thrombosis symptoms may resemble those of other more common medical problems. Because some of these symptoms can also point to other conditions, it’s important to have your child evaluated by a qualified medical professional for an accurate diagnosis and prompt treatment. If you have a family history of thrombosis, it is important to bring this up during evaluation for these symptoms. […] Some deep vein thromboses may resolve without treatment. Treatment is given to help get rid of the blood clot and to minimize complications of thrombosis. If the blood clot remains, other veins will enlarge to bypass the blockage. Sometimes these veins are visible, like varicose veins. After a blood clot some people develop long-term pain and swelling in the leg called post-thrombotic syndrome, which is caused by reduced blood flow and damage to the affected vein. […] Blood clots in the thigh are more likely to break off and travel to the lungs than blood clots below the knee or in the arms. A pulmonary embolism can be a life-threatening emergency, requiring immediate medical attention.
  • #43 Thrombophilia – Wikipedia
    https://en.wikipedia.org/wiki/Thrombophilia
    Thrombophilia has been linked to recurrent miscarriage, and possibly various complications of pregnancy such as intrauterine growth restriction, stillbirth, severe pre-eclampsia and abruptio placentae. […] Protein C deficiency may cause purpura fulminans, a severe clotting disorder in the newborn that leads to both tissue death and bleeding into the skin and other organs. The condition has also been described in adults. Protein C and protein S deficiency have also been associated with an increased risk of skin necrosis on commencing anticoagulant treatment with warfarin or related drugs. […] Whether thrombophilia also increases the risk of arterial thrombosis (which is the underlying cause of heart attacks and strokes) is less well established. However, more recent data suggest some forms of inherited thrombophilia are associated with increased risk for arterial ischemic stroke.
  • #44 Hereditary Thrombophilia | Contact
    https://contact.org.uk/conditions/hereditary-thrombophilia/
    In the most common form of inherited thrombophilia, factor V Leiden, the leg may become swollen, painful and red. In some individuals, part of the clot may be dislodged and flow to the lung (pulmonary embolism) which may make breathing difficult. Depending on the size of the blood clot, some individuals may experience severe respiratory difficulty whereas in others breathing problems may be barely noticeable. In very rare cases, a clot might occur in the arm, brain, or liver. Since clots associated with factor V Leiden form in the veins (which take blood to the heart), there is no increased risk of coronary occlusion. However, pregnancy loss and other obstetric complications may occur at an increased rate in women with factor V Leiden. It is important to look for the presence of factor V Leiden in women who experience recurrent miscarriages as it can be treated to reduce the risk of these events occurring.
  • #45 Inherited and Secondary Thrombophilia: Clinician Update
    https://pmc.ncbi.nlm.nih.gov/articles/PMC3979345/
    Thrombophilia is defined as a predisposition (susceptibility) to thrombosis. […] Most persons with a thrombophilia do not develop thrombosis. […] Hyperhomocysteinemia is a weak risk factor for incident and recurrent VTE. […] In one study, VTE patients with plasma homocysteine above the 90th percentile (20.1 mol/L) had a 1.8-fold increased risk for VTE recurrence. […] Finally, in one study, Hashimotos thyroiditis and pernicious anemia were associated with 5.3- and 3.9-fold increased risk for VTE.
  • #46 SARS-COV-2 infection in patients with hereditary thrombophilia: Is there a worsening in COVID-19 symptoms? | GSC Biological and Pharmaceutical Sciences
    https://gsconlinepress.com/journals/gscbps/content/sars-cov-2-infection-patients-hereditary-thrombophilia-there-worsening-covid-19-symptoms
    Patients with COVID-19 who progressed to a more advanced stage of the disease were observed to develop coagulation disorders. […] Individuals with hereditary thrombophilia are at greater risk of developing a thrombolytic event after infection (long-term COVID). […] Our data show the benefits of performing genetic screening for hereditary thrombophilia in individuals infected with SARS-Cov-2 in order to establish, together with classical laboratory parameters, a risk factor for the development of thrombosis both during the infectious process and for post-COVID and thus avoid a vascular event.
  • #47 Depressive Symptoms as a Novel Risk Factor for Recurrent Venous Thromboembolism: A Longitudinal Observational Study in Patients Referred for Thrombophilia Investigation | PLOS One
    https://journals.plos.org/plosone/article?id=10.1371/journal.pone.0125858
    Increasing evidence suggests that psychosocial factors, including depression predict incident venous thromboembolism (VTE) against a background of genetic and acquired risk factors. […] We hypothesized that depressive symptoms in patients with prior VTE are associated with an increased risk of recurrent VTE. […] Clinically relevant depressive symptoms (HADS-D score 8) were present in 10% of patients. […] After controlling for sociodemographic and clinical factors, a 3-point increase on the HADS-D score was associated with a 44% greater risk of recurrent VTE (OR 1.44, 95% CI 1.02, 2.06). […] Compared to patients with lower levels of depressive symptoms (HADS-D score: range 0-2), those with higher levels (HADS-D score: range 3-16) had a 4.1-times greater risk of recurrent VTE (OR 4.07, 95% CI 1.55, 10.66). […] The findings suggest that depressive symptoms might contribute to an increased risk of recurrent VTE independent of other prognostic factors. […] An increased risk might already be present at subclinical levels of depressive symptoms.
  • #48 Depressive Symptoms as a Novel Risk Factor for Recurrent Venous Thromboembolism: A Longitudinal Observational Study in Patients Referred for Thrombophilia Investigation | PLOS One
    https://journals.plos.org/plosone/article?id=10.1371/journal.pone.0125858
    Increasing evidence suggests that psychosocial factors, including depression predict incident venous thromboembolism (VTE) against a background of genetic and acquired risk factors. […] We hypothesized that depressive symptoms in patients with prior VTE are associated with an increased risk of recurrent VTE. […] Clinically relevant depressive symptoms (HADS-D score 8) were present in 10% of patients. […] After controlling for sociodemographic and clinical factors, a 3-point increase on the HADS-D score was associated with a 44% greater risk of recurrent VTE (OR 1.44, 95% CI 1.02, 2.06). […] Compared to patients with lower levels of depressive symptoms (HADS-D score: range 0-2), those with higher levels (HADS-D score: range 3-16) had a 4.1-times greater risk of recurrent VTE (OR 4.07, 95% CI 1.55, 10.66). […] The findings suggest that depressive symptoms might contribute to an increased risk of recurrent VTE independent of other prognostic factors. […] An increased risk might already be present at subclinical levels of depressive symptoms.
  • #49 Thrombophilia: Symptoms & Treatment
    https://my.clevelandclinic.org/health/diseases/21797-thrombophilia
    You may not feel any thrombophilia symptoms unless you get a blood clot. Blood clot symptoms differ in various parts of your body: […] Blood clots can travel all over your body, limiting or blocking blood flow to your organs. This can cause serious problems in your: […] Although your provider cant cure genetic thrombophilia, they can order medicine like blood thinners for you to take for life. This medicine will help you manage your thrombophilia. […] Nearly 90% of people who have thrombophilia never get a blood clot, but some people get one or more serious clots. […] If you inherited thrombophilia, youll have it for life. Other kinds of thrombophilia can improve when you treat the condition that caused it.
  • #50 Blood Clotting Disorders: Types, Signs and Treatment
    https://my.clevelandclinic.org/health/diseases/16788-blood-clotting-disorders-hypercoagulable-states
    A blood clotting disorder makes your blood form clots too easily. This is also called a hypercoagulable state or thrombophilia. […] Blood clotting disorder symptoms can vary depending on where in your body you have a blood clot. Symptoms may include: Swelling, tenderness and pain in your leg can mean you have a deep vein thrombosis. Chest pain with shortness of breath can mean a possible pulmonary embolism. Heart attack. Stroke. […] Hypercoagulable states are usually genetic (inherited from parents) or acquired conditions. The genetic form of this disorder means you’re born with the tendency to form blood clots. Acquired conditions are usually a result of surgery, trauma, medications or a medical condition that increases the risk of forming clots. […] If you inherited your blood clotting disorder from your parents, you’ll have it for the rest of your life. Although that doesn’t mean you’ll get a blood clot, there may be times in your life when an additional risk factor increases the risk you already have. Many acquired coagulation disorders go away when the situation that caused them goes away. For example, when you’re up and moving again after a long plane ride, your risk of clots goes back down.
  • #51 Thrombophilia
    https://www.nhs.uk/conditions/thrombophilia/
    Most people do not realise they have thrombophilia until it causes a blood clot. […] Symptoms of a blood clot can include: throbbing pain and swelling in your legs and arms (deep vein thrombosis) […] Having repeated miscarriages can also be a symptom of thrombophilia. […] These could be the symptoms of a blood clot in your leg or your lungs. […] You may get pain and swelling in your arm or tummy instead if that’s where the blood clot is. […] Thrombophilia that starts later in life (acquired thrombophilia) can sometimes get better if the underlying cause is treated.
  • #52 Factor V Leiden – Wikipedia
    https://en.wikipedia.org/wiki/Factor_V_Leiden
    The symptoms of factor V Leiden vary among individuals. There are some individuals who have the F5 gene and who never develop thrombosis, while others have recurring thrombosis before the age of 30 years. This variability is influenced by the number of F5 gene (chromosome 1) mutations a person has, the presence of other gene alterations related to blood clotting, and circumstantial risk factors, such as surgery, use of oral contraceptives and pregnancy. […] Symptoms of factor V Leiden include: Having a first DVT (deep vein thrombosis) or PE (pulmonary embolism) before age 50. Having recurring DVT or PE. Having venous thrombosis in unusual sites in the body such as the brain or the liver. Having a DVT or PE during or right after pregnancy. Having a history of unexplained pregnancy loss in the second or third trimester. Having a DVT or PE and a strong family history of venous thromboembolism.
  • #53 Thrombophilia – Blood Clots
    https://www.stoptheclot.org/about-clots/thrombophilia/thrombophilia/
    Many individuals with thrombophilia may never have a clotting problem, while others may experience a life-threatening clot or even a series of them. […] Unfortunately, however, certain types of thrombophilia do carry much higher risks. […] If you experience the signs and symptoms of a blood clot in your leg or arm, you should contact your doctor as soon as possible. […] If you have the signs of a PE, which can be life-threatening, you should seek immediate medical attention. […] DVT and PE have different symptoms that may sometimes be confused with other less serious health problems. […] Sometimes people experience blood clots for no apparent reason. These individuals may have a hidden risk for blood clots called thrombophilia. […] Some individuals have an underlying vulnerability for blood clots known as thrombophilia.
  • #54 Thrombophilia – Blood Clots
    https://www.stoptheclot.org/about-clots/thrombophilia/thrombophilia/
    About 30 percent of all people who experience a blood clot have no known risk factors, and in about half of these cases of unprovoked clots, thrombophilia is identified. […] Although thrombophilia increases one’s risk for a blood clot, it by no means guarantees one. […] The lifetime risk of developing DVT is 10 percent or less for certain thrombophilias, but the degree of risk fluctuates based on a number of considerations. […] Heterozygous conditions may increase your blood clot risk several-fold. […] On the other hand, homozygous conditions may multiply your risk by as much as 25 to 50 times the norm. […] When thrombophilias are present in combination with other known blood clot risks, particularly hospitalization, surgery, pregnancy, cancer, or use of estrogen-based medications, the odds of a blood clot are greatly magnified.
  • #55 Thrombophilia – Blood Clots
    https://www.stoptheclot.org/about-clots/thrombophilia/thrombophilia/
    About 30 percent of all people who experience a blood clot have no known risk factors, and in about half of these cases of unprovoked clots, thrombophilia is identified. […] Although thrombophilia increases one’s risk for a blood clot, it by no means guarantees one. […] The lifetime risk of developing DVT is 10 percent or less for certain thrombophilias, but the degree of risk fluctuates based on a number of considerations. […] Heterozygous conditions may increase your blood clot risk several-fold. […] On the other hand, homozygous conditions may multiply your risk by as much as 25 to 50 times the norm. […] When thrombophilias are present in combination with other known blood clot risks, particularly hospitalization, surgery, pregnancy, cancer, or use of estrogen-based medications, the odds of a blood clot are greatly magnified.
  • #56 Thrombophilia | nidirect
    https://www.nidirect.gov.uk/conditions/thrombophilia
    Most people with thrombophilia don’t have symptoms. Symptoms only occur if thrombophilia causes a blood clot. […] If you have thrombophilia, you’re more likely to develop a blood clot in one of the large veins in your leg (deep vein thrombosis) or a pulmonary embolism, where the blood clot breaks off, travels in the circulation and lodges in the arteries supplying the lungs. […] The symptoms of a pulmonary embolism are: chest or upper back pain, shortness of breath, coughing usually dry, but you may cough up blood or mucus containing blood, lightheadedness or dizziness, fainting. […] If you have thrombophilia, you need to be aware of the symptoms of a blood clot and see your GP immediately if you think you have one.