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Thrombosis is a condition that must be diagnosed with arduous studies since it is characterized by ceasing to be perceived, which causes death in patients
The thrombosis Deep vein is a blood clot that originates in a deep vessel in the body, it has a predominance in the lower limbs and in the muscles of these limbs, when there is an inflammation that is the most common it is called thrombophlebitis. Deep vein thrombosis can cause other more serious pathologies such as a pulmonary embolism, a heart attack or a stroke.
In an interview with the magazine Medicine and Public Health (MSP) Dr. Jorge Martinez Trabal, a vascular surgeon, explains what a deep vein thrombosis is about, the diagnosis of the disease, how the condition is detected and the treatments that are directed towards patients suffering from the malignancy.
“Thromboembolic events can be divided into arterial and venous events, deep vein thrombosis is lethal, since more than 50% of in-hospital deaths are secondary to venous thromboembolic effects, other events such as coronary, astral skin or a cerebral infarction they are effects that also have to do with thrombosis, however, they are arterial, whose pathology is different ”explained the doctor.
Diagnosis of a deep vein thrombosis
The symptoms that are most characterized by this condition are pain in the legs, this pain is also manifested by inflammation or edema. The specialist can identify that there is a thrombosis when an individual has also suffered from other procedures or conditions that can lead to the development of a blood clot.
“They are diagnosed mainly with the complaint of pain, these pains are associated with swelling or edema, they are almost always associated with a clinical picture, for example when a patient undergoes a knee replacement or an arthroscopy it is normal to have a certain amount of swelling but on many occasions the person when visiting his doctor, this specialist detects edema which is not usual for a patient who had knee surgery and there is the suspicion of thrombosis, 80% of these patients go from being perceived because the discomfort is mild ”said the surgeon.
Some tools are used so that thrombosis is located effectively, however most of the time it is so complex to detect that it is related or compared with other similar pathologies that present a similar range of symptoms, the main element used is a Wells Score, which shows the probabilities of developing the condition.
“The first thing that any means of suspicion for thrombosis should have is a Wells Score, this system has a very important predictive value since it measures the risk factors of the patient and gives a probability that in effect or a pain it may be a thrombophlebitis. The scores vary according to the result of the Wells Score, for example if this tool yields 1 point the probability of it being the disease is less than 3%, it is important to confirm it with other types of pathologies, now, if the probability is moderate to high the first What is done if the patient is not contraindicated is to give them anticoagulants and then continue with the study in the vascular laboratory ”the doctor explained.
The use of an anticoagulant is the main way by which a patient can benefit and reduce those symptoms that afflict him, however, it is essential to take into account that the administration of this drug depends on the recurrence of the disease and the state of the patient.
“Depending on the severity, anticoagulants are always used, it can be for 3 or 6 months, the management guidelines recommend this when a patient develops the disease for the first time, depending on the place the intensity also depends. Risk factors must also be taken into account and while these predispositions are removed, it should always be managed with an anticoagulant. If a second event occurs, the recommendation is to use anticoagulants for life “concluded Dr. Jorge Martinez.