Secondary prevention in thrombotic antiphospholipid syndrome

被引:11
|
作者
Pengo, V. [1 ]
Denas, G. [1 ]
Banzato, A. [1 ]
Bison, E. [1 ]
Bracco, A. [1 ]
Facchinetti, M. [2 ]
Hoxha, A. [2 ]
Ruffatti, A. [2 ]
机构
[1] Univ Padua, Thrombosis Ctr, Dept Cardiac Thorac & Vasc Sci, I-35128 Padua, Italy
[2] Univ Padua, Rheumatol Unit, Dept Med, I-35128 Padua, Italy
关键词
antiphospholipid; prevention; drugs; thrombosis; RECURRENT THROMBOSIS; THERAPY; INTENSITY; WARFARIN; RISK;
D O I
10.1177/0961203312444773
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Secondary prevention of venous thromboembolism in antiphospholipid syndrome (APS) is usually made using vitamin K antagonists (VKAs) to maintain an international normalized ratio (INR) between 2.0 and 3.0. The optimal intensity of anticoagulation was determined in two prospective randomized controlled trials, both excluding the benefit of more intense anticoagulation. The same regimen is also recommended in patients with APS and arterial thromboembolism as aspirin does not appear to protect against recurrences. The duration of treatment is usually indefinite because of a substantial risk of recurrence. Lupus (2012) 21, 734-735.
引用
收藏
页码:734 / 735
页数:2
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