[Folie à deux - Thrombosis and Infections].

Q4 Medicine Praxis Pub Date : 2023-06-01 DOI:10.1024/1661-8157/a004004
Julia Picker, Johannes Schwenke, Lorenz Neuenschwander, Sonja Nisslé, Christian Maurer, Rolf Egli, Daniel Périard, Daniel Staub, Dimitrios A Tsakiris, Drahomir Aujesky, Philip Tarr
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Abstract

Folie à deux - Thrombosis and Infections Abstract: Although infections are not represented in the Revised Geneva or Wells score, they increase the risk of venous thromboembolism (VTE) similarly to the known risk factors (immobilization, major surgery, active neoplasia). This increased risk of VTE can persist for six to twelve months after infection; moreover, the more severe the infection, the higher the risk of VTE may be. In addition to VTEs, infections can promote arterial thromboembolism. For example, 20% of pneumonias are accompanied by an acute cardiovascular event (acute coronary syndrome, heart failure, atrial fibrillation). In the case of infection-associated atrial fibrillation, the CHA2DS2 VASc score remains an appropriate guide for the indication of anticoagulation.

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[Folie [deux] -血栓和感染]。
摘要:虽然感染在修订的Geneva或Wells评分中没有表现出来,但它们与已知的危险因素(固定,大手术,活动性肿瘤)相似,会增加静脉血栓栓塞(VTE)的风险。这种增加的静脉血栓栓塞风险可在感染后持续6至12个月;而且,感染越严重,静脉血栓栓塞的风险越高。除了静脉血栓栓塞外,感染还可促进动脉血栓栓塞。例如,20%的肺炎伴有急性心血管事件(急性冠状动脉综合征、心力衰竭、心房颤动)。在感染相关性心房颤动的情况下,CHA2DS2 VASc评分仍然是抗凝指征的适当指导。
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来源期刊
Praxis
Praxis Medicine-Medicine (all)
CiteScore
0.40
自引率
0.00%
发文量
146
审稿时长
12 weeks
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