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Heparin-induced thrombocytopenia. Diagnosis, natural history, and treatment options

J G Kelton1, T E Warkentin

  • 1Department of Medicine, McMaster University Faculty of Health Sciences, Hamilton, Ontario, Canada.

Postgraduate Medicine
|February 28, 1998
PubMed

Heparin-induced thrombocytopenia develops when patients given heparin as treatment for thrombosis have an immunologic reaction to the agent. Patients may have an underlying thrombotic disorder--for example, venous thrombosis or pulmonary embolism--that requires intervention. Alternative antithrombotic therapies that have been tried include defibrinogenating agents, LMWH and heparinoids, thrombin-specific inhibitors, antiplatelet agents, oral anticoagulants, and vena cava interruption.

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