EHA Library - The official digital education library of European Hematology Association (EHA)

CROSS-SECTIONAL ANALYSIS OF VENOUS THROMBOEMBOLISM IN YOUNG INDIAN MALES; NEW INSIGHTS INTO AN OLD PROBLEM
Author(s): ,
Subrat Kumar Das
Affiliations:
Hematology,Army Hospital (Research & Referral),New Delhi,India
,
Yanamandra Uday
Affiliations:
Hematology,Army Hospital (Research & Referral),New Delhi,India
,
Rajan Kapoor
Affiliations:
Hematology,Army Hospital (Research & Referral),New Delhi,India
,
Tarun Verma
Affiliations:
Hematology,Army Hospital (Research & Referral),New Delhi,India
,
S Das
Affiliations:
Hematology,Army Hospital (Research & Referral),New Delhi,India
Velu Nair
Affiliations:
Hematology,Army Hospital (Research & Referral),New Delhi,India
(Abstract release date: 05/18/17) EHA Library. Kumar Das S. 05/18/17; 182933; PB2220
Subrat Kumar Das
Subrat Kumar Das
Contributions
Abstract

Abstract: PB2220

Type: Publication Only

Background

Venous thromboembolism (VTE) comprising of deep vein thrombosis (DVT) and pulmonary embolism (PE) is one of the major cardiovascular causes of death along with MI and stroke. Though earlier works has suggested that DVT is rarer in Asian population, recent studies have revealed that this might not be so. Most of the studies conducted in Asia in general and India specifically has been on hospitalized patients with minimal representation of young healthy individuals.

Aims
We aimed at studying the disease variables of VTE in young healthy males of Indian origin and compare the same with other Indian studies as well as the global statistics.

Methods
Hospital records of 176 Color Doppler Flow Index (CDFI) and /or Contrast Enhanced Computed Tomography (CECT) proven VTE patients being followed up in a tertiary care hospital was analyzed retrospectively to document cause (provoked/ unprovoked), venous systems involved, thrombophilia profile, duration of anti-coagulation and recurrence.

Results
Among the study population, 49.8% had a provoked VTE. 90.9% subjects had DVT, mostly of the lower limb, 15.3% had PE with DVT, 2.8 % had PE alone and 6.2% had splanchninc vein thrombosis including portal vein thrombosis. In the subjects who had undergone thrombophilia profile, 41.9% had Protein C, 58.1% Protein S and 25.9% Antithrombin III deficiency. Lupus anticoagulant screen was positive for 13% of the screened subjects. The average duration of anti-coagulation was 18 months with majority (98.2%) patients on Vitamin K antagonist. The recurrence rate in our study population was found to be 11.4%.

Conclusion
Young Indian males have different disease variables for VTE as compared to western population. The exact pathophysiology of such differences needs to be studied further to formulate strategies for effective screening and prevention.

Session topic: 34. Thrombosis and vascular biology

Keyword(s): Pulmonary embolism, DVT

Abstract: PB2220

Type: Publication Only

Background

Venous thromboembolism (VTE) comprising of deep vein thrombosis (DVT) and pulmonary embolism (PE) is one of the major cardiovascular causes of death along with MI and stroke. Though earlier works has suggested that DVT is rarer in Asian population, recent studies have revealed that this might not be so. Most of the studies conducted in Asia in general and India specifically has been on hospitalized patients with minimal representation of young healthy individuals.

Aims
We aimed at studying the disease variables of VTE in young healthy males of Indian origin and compare the same with other Indian studies as well as the global statistics.

Methods
Hospital records of 176 Color Doppler Flow Index (CDFI) and /or Contrast Enhanced Computed Tomography (CECT) proven VTE patients being followed up in a tertiary care hospital was analyzed retrospectively to document cause (provoked/ unprovoked), venous systems involved, thrombophilia profile, duration of anti-coagulation and recurrence.

Results
Among the study population, 49.8% had a provoked VTE. 90.9% subjects had DVT, mostly of the lower limb, 15.3% had PE with DVT, 2.8 % had PE alone and 6.2% had splanchninc vein thrombosis including portal vein thrombosis. In the subjects who had undergone thrombophilia profile, 41.9% had Protein C, 58.1% Protein S and 25.9% Antithrombin III deficiency. Lupus anticoagulant screen was positive for 13% of the screened subjects. The average duration of anti-coagulation was 18 months with majority (98.2%) patients on Vitamin K antagonist. The recurrence rate in our study population was found to be 11.4%.

Conclusion
Young Indian males have different disease variables for VTE as compared to western population. The exact pathophysiology of such differences needs to be studied further to formulate strategies for effective screening and prevention.

Session topic: 34. Thrombosis and vascular biology

Keyword(s): Pulmonary embolism, DVT

By clicking “Accept Terms & all Cookies” or by continuing to browse, you agree to the storing of third-party cookies on your device to enhance your user experience and agree to the user terms and conditions of this learning management system (LMS).

Cookie Settings
Accept Terms & all Cookies