Thrombophilia Testing

Chapter

Abstract

Hypercoagulable testing is an area of clinical medicine fraught with misconception and misunderstanding. We all desire to provide our patients with the best possible diagnosis and understanding of their medical condition. However, laboratory testing for thrombophilia is overused, frequently misunderstood, and in many cases ordered without a good understanding of the results. Laboratory testing for thrombophilia may be affected by many patient-related, therapy-related, and laboratory-related factors. An understanding of these influences will lead to a better understanding of when testing may be warranted. The diagnosis of a thrombophilic state may impact future care and decisions on anticoagulation and periprocedural or peripartum care. In addition, overuse and inappropriately timed hypercoagulable testing can impact the cost of care, length of stay, and immediate as well as long-term anticoagulation decisions. The savvy practitioner should seek to gain an understanding of the pearls and pitfalls of thrombophilia testing. This chapter will strive to help determine the optimal tests, timing of testing, and impact of hypercoagulable testing for patients with venous and arterial thromboembolism.

Keywords

Hypercoagulable testing Thrombophilia Thrombophilia testing Laboratory testing Thrombosis Venous thromboembolism Arterial thrombosis Antiphospholipid antibody syndrome Natural anticoagulant deficiency Factor V Leiden Prothrombin gene mutation 

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Copyright information

© Springer International Publishing AG, part of Springer Nature 2018

Authors and Affiliations

  1. 1.Division of Cardiovascular MedicineUniversity Hospitals Cleveland Medical CenterClevelandUSA
  2. 2.Department of MedicineCase Western Reserve University School of MedicineClevelandUSA

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