Extended secondary prophylaxis after venous thrombosis

Summary

The drug therapy of thromboembolic diseases is considered standardized and effective in most cases. Recurrence has been known for years after discontinuing anticoagulation, both after DVT, after PE and also after SVT. Only recently has this particular patient clientele, the specific medical history and the potential triggering risk factors been dealt with in more detail. It became necessary to formulate a more precise differentiation of the risk factors and to specify in terms of the way and duration of secondary pharmacological prophylaxis. In addition to VKA, new registrations of NOAKs are helpful for this indication. ASS has no significance in this regard. Against this background, a „traffic light system” was developed, which should help the treating physicians in the estimation of the individual recurrence risk.

Keywords

Thromboembolic diseases - maintenance therapy - recurrence frequency - prolonged secondary prophylaxis - trigger factor - provoked - unprovoked - traffic light principle

Interessenkonflikt

Nach Angaben der Autoren bestehen keine Interessenkonflikte.

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