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Published on: June 2, 2015
Biomarkers and venous thromboembolism
1Clinical Division of Hematology and Hemostaseology, Department of Medicine I, Medical University of Vienna, Waehringer Guertel 18-20, A-1090 Vienna, Austria. ingrid.pabinger@meduniwien.ac.at
Identifying biomarkers for venous thromboembolism (VTE) risk is crucial. This review discusses D-dimer, P-selectin, factor VIII, inflammatory markers, and thrombin generation for predicting VTE.
Area of Science:
- Biochemistry
- Hematology
- Clinical Medicine
Background:
- Venous thromboembolism (VTE) poses significant health risks due to high morbidity, mortality, and recurrence rates.
- Early identification of patients at high or low risk for primary and recurrent VTE is clinically important.
- Biomarkers are needed to aid in VTE diagnosis, risk stratification, and management.
Purpose of the Study:
- To review established and novel biomarkers for predicting primary and recurrent VTE.
- To discuss the clinical application of biomarkers reflecting a prothrombotic state.
- To summarize data on specific biomarkers including D-dimer, soluble P-selectin, coagulation factor VIII, inflammatory markers, and thrombin generation.
Main Methods:
- Literature review of studies investigating biomarkers for VTE.
- Analysis of data on biomarkers with procoagulant properties or that indicate a prothrombotic state.
- Discussion of the role of selected biomarkers in clinical practice.
Main Results:
- Selected biomarkers such as D-dimer, soluble P-selectin, coagulation factor VIII, inflammatory markers, and thrombin generation have been investigated for VTE prediction.
- These biomarkers reflect procoagulant properties or a prothrombotic state.
- Their potential roles in diagnosis, risk stratification, and management are under evaluation.
Conclusions:
- Biomarkers hold promise for improving the early identification of patients at risk for VTE.
- Further research and clinical validation are necessary to optimize the use of these biomarkers in VTE management.
- Understanding biomarker roles can enhance clinical decision-making for VTE patients.
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