Statements in which the resource exists as a subject.
PredicateObject
rdf:type
lifeskim:mentions
pubmed:issue
5
pubmed:dateCreated
2001-5-24
pubmed:abstractText
Hypercoagulability is observed in patients with inherited thrombophilia, e.g. factor V Leiden (FVL) mutation. Pregnancy represents a hypercoagulable state as well. This study addresses the effects of the FVL mutation on haemostatic activation during pregnancy as indicated by prothrombin fragments (F1+2). 233 pregnant women with no history of venous thromboembolism were studied. Additionally, two patient groups (25 pregnant FVL carriers and 36 pregnant women without thrombophilic diathesis) in whom low molecular weight heparin (dalteparin) was used prophylactically against rethrombosis were investigated. None of the women developed clinical signs of venous thromboembolism during pregnancy or after delivery. Untreated women exhibited substantial hypercoagulability. F1+2 levels were similar in FVL carriers and non-carriers (difference n. s.). After sufficient adjustment for anti-factor Xa activity (> or =0.15; < or =0.4 U/mL), heparinized women without any thrombophilic diathesis had significantly lower levels of F1+2 than untreated pregnant women. This was evident only in the first and second trimenon (p <0.001). F1+2 levels in heparinized FVL carriers were quite similar to the levels observed in untreated pregnant women, however. In conclusion, our data support the thesis that in comparison to asymptomatic patients, thrombin generation is exaggerated in symptomatic FVL carriers. Coagulation activation during pregnancy can be reduced by dalteparin.
pubmed:language
eng
pubmed:journal
pubmed:citationSubset
IM
pubmed:chemical
pubmed:status
MEDLINE
pubmed:month
May
pubmed:issn
0340-6245
pubmed:author
pubmed:issnType
Print
pubmed:volume
85
pubmed:owner
NLM
pubmed:authorsComplete
Y
pubmed:pagination
782-6
pubmed:dateRevised
2005-11-17
pubmed:meshHeading
pubmed-meshheading:11372668-Adult, pubmed-meshheading:11372668-Anticoagulants, pubmed-meshheading:11372668-Case-Control Studies, pubmed-meshheading:11372668-Dalteparin, pubmed-meshheading:11372668-Factor V, pubmed-meshheading:11372668-Female, pubmed-meshheading:11372668-Hemostasis, pubmed-meshheading:11372668-Hemostatics, pubmed-meshheading:11372668-Humans, pubmed-meshheading:11372668-Mutation, pubmed-meshheading:11372668-Peptide Fragments, pubmed-meshheading:11372668-Pregnancy, pubmed-meshheading:11372668-Pregnancy Complications, Hematologic, pubmed-meshheading:11372668-Prothrombin, pubmed-meshheading:11372668-Recurrence, pubmed-meshheading:11372668-Thrombin, pubmed-meshheading:11372668-Thromboembolism, pubmed-meshheading:11372668-Thrombophilia, pubmed-meshheading:11372668-Venous Thrombosis
pubmed:year
2001
pubmed:articleTitle
The impact of dalteparin (Fragmin) on thrombin generation in pregnant women with venous thromboembolism: significance of the factor V Leiden mutation.
pubmed:affiliation
Medical Department, University of Würzburg, Germany. c.schambeck@medizin.uni-wuerzburg.de
pubmed:publicationType
Journal Article, Clinical Trial