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Updated: Jul 27, 2026

Stenosis of the Inferior Vena Cava: A Murine Model of Deep Vein Thrombosis
Published on: December 22, 2017
Is mild normobaric hypoxia a risk factor for venous thromboembolism?
P D Hodkinson1, B J Hunt, K Parmar
1Division of Physiology, GKT School of Biomedical Sciences, St Thomas'. Hospital, Guy's and St. Thomas' Trust, London SE1 7EH, UK.
This study found that hypoxia alone does not activate coagulation. Immobility may be a more significant factor in travel-related venous thromboembolism (VTE).
Area of Science:
- Aerospace Medicine
- Physiology
- Hematology
Background:
- Air travel exposes passengers to cabin altitudes (1520-2440 m), causing mild hypoxia.
- The link between hypoxia and venous thromboembolism (VTE) during or after flights is debated.
- Previous research suggested hypobaric hypoxia activates coagulation.
Purpose of the Study:
- To investigate if normobaric hypoxia alone activates coagulation.
- To determine if hypoxia induces endothelial cell activation.
Main Methods:
- Six healthy males were exposed to normobaric hypoxia (12.8% O2, equivalent to 3660 m) for 3 hours.
- Participants were seated during exposure.
- Hemostatic, endothelial, platelet, and leukocyte markers were measured.
Main Results:
- No significant differences in hemostatic or endothelial markers were observed between hypoxia and control conditions.
- Platelet and leukocyte counts were significantly higher in the hypoxia group.
- Increases in fibrinogen and von Willebrand factor showed no significant difference between groups.
Conclusions:
- The study does not support the hypothesis that hypoxia alone activates coagulation.
- Immobility-induced rheological changes may play a more significant role in VTE etiology during air travel.
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