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Related Concept Videos

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Venous Thrombosis III: Interprofessional Care

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Venous thrombosis requires effective prevention and treatment strategies to improve patient outcomes and reduce potential complications.Prevention StrategiesHealthcare providers must prioritize preventing venous thromboembolism (VTE) for all adult patients upon admission. Interventions depend on bleeding and thrombosis risk, medical history, current medications, diagnoses, planned procedures, and patient preferences. Patients on bed rest should change positions every two hours and, if not...
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Venous Thrombosis I: Introduction01:30

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Venous thrombosis, the most common disorder of the veins, involves the formation of a thrombus or blood clot associated with vein inflammation. It can be classified as either superficial vein thrombosis or deep vein thrombosis.Superficial Vein Thrombosis: This involves the formation of a thrombus in a superficial vein, usually the greater or lesser saphenous vein. Though less severe than deep vein thrombosis (DVT), SVT can lead to complications if untreated.Deep Vein Thrombosis (DVT): This...
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Diagnosing Pulmonary EmbolismDiagnosing pulmonary embolism (PE) involves clinical assessment and advanced imaging tests. The preferred diagnostic tool is the spiral (helical) CT scan or CT angiography (CTA), which uses intravenous contrast media to visualize the pulmonary vasculature and identify emboli.A ventilation-perfusion (V/Q) scan is an alternative for patients unable to receive contrast media. This scan includes both perfusion and ventilation scanning. Perfusion scanning involves...
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e-Thrombosis: occupation-specific hazard in electronic information and technology professionals.

N Ramaswamy1, Ambika Prasad Patra2

  • 1Faculty of Medicine, Department of Forensic Medicine and Toxicology, Jawaharlal Institute of Post-Graduate Medical Education & Research (JIPMER), Dhanvantari Nagar, Puducherry, 605006, India.

Forensic Science, Medicine, and Pathology
|September 2, 2023
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Summary

Prolonged sitting, common in IT professionals, is a new risk factor for deep vein thrombosis (DVT) and pulmonary thromboembolism (PTE), also called e-thrombosis. This case study highlights the dangers of sedentary work styles.

Keywords:
AutopsyDeep vein thrombosisEmbolismProlongedPulmonarySedentarySudden deathThromboembolism

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Area of Science:

  • Medicine
  • Occupational Health
  • Vascular Medicine

Background:

  • Deep vein thrombosis (DVT) and pulmonary thromboembolism (PTE) have established risk factors.
  • Prolonged sitting due to occupational demands is an emerging risk factor.
  • The COVID-19 pandemic and remote work policies exacerbated sedentary behaviors, particularly in IT professionals.

Purpose of the Study:

  • To review a case of sudden death in an IT professional due to DVT and PTE.
  • To investigate the association between prolonged sitting and thromboembolic events.
  • To discuss clinical presentation, autopsy findings, and preventive strategies for prolonged seated immobility thromboembolism.

Main Methods:

  • Case report of an IT professional with fatal DVT and PTE.
  • Literature review on prolonged sitting as a risk factor for thromboembolism.
  • Analysis of clinical, pathological, and preventive aspects of sedentary work-related thrombosis.

Main Results:

  • A case of sudden death linked to DVT and PTE in an IT professional was documented.
  • Evidence suggests a significant association between extended sitting hours and the development of DVT and PTE.
  • This condition is termed 'e-thrombosis' or prolonged seated immobility thromboembolic syndrome.

Conclusions:

  • Prolonged seated immobility, especially in sedentary occupations like IT, poses a significant risk for DVT and PTE.
  • Awareness and preventive measures are crucial for individuals with prolonged sitting work styles.
  • Further research into 'e-thrombosis' and its management is warranted.