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Current Developments in Anticoagulant and Antithrombotic Agents

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Handbook of Platelet Physiology and Pharmacology

Abstract

Thrombosis is clearly the most common cause of death in the United States. About two million individuals die each year from an arterial or venous thrombosis or the consequences of these disorders. About 80% to 90% of all causes of thrombosis can now be defined with respect to cause. Of these, over 50% of all patients harbor a congenital or acquired blood coagulation protein or platelet defect which caused the thrombotic event. It is obviously of major importance to define those individuals harboring such a defect, as this allows (1) appropriate antithrombotic therapy to decrease risks of recurrence (2) determine length of time the patient must remain on therapy for secondary prevention and (3) allow for testing of family members in those harboring a blood coagulation protein or platelet defect which is hereditary (about 50% of all coagulation and platelet defects mentioned above). Aside from mortality, significant additional morbidity occurs from both arterial or venous thrombotic events, including, but not limited to paralysis (non-fetal thrombotic stroke), cardiac disability (repeated coronary events), loss of vision (retinal vascular thrombosis) and fetal waste syndrome (placental vascular thrombosis), stasis ulcers and other manifestations of post-phlebitic syndrome, etc.

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Fareed, J., Hoppensteadt, D., Fareed, D., Walenga, J.M., Wolf, H., Bick, R.L. (1999). Current Developments in Anticoagulant and Antithrombotic Agents. In: Rao, G.H.R. (eds) Handbook of Platelet Physiology and Pharmacology. Springer, Boston, MA. https://doi.org/10.1007/978-1-4615-5049-5_23

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