The risk of venous thromboembolism in patients with heart failure
https://doi.org/10.15829/1560-4071-2020-1-3678
Abstract
Aim. To quantify the risk of venous thromboembolism (VTE) in hospitalized patients, depending on the severity of heart failure (HF).
Material and methods. Current cross-sectional study included 132 patients hospitalized in the cardiology department in 2019. All participants were divided into 2 groups: group 1 (n=48) — patients with class I-II HF; group 2 (n=84) — patients with class III-IV HF. A total quantitative assessment of the VTE risk was carried out according to the Caprini risk scoring method.
Results. All patients hospitalized in the cardiology department, regardless of HF class, had a moderate and high risk of VTE and required prophylactic anticoagulation. High VTE risk had 85% of patients with class I-II HF; 97,6% — patients with a class III-IV HF. Mean score of ≥10 was observed in every fifth patient. Atrial fibrillation requiring long-term anticoagulant therapy was observed in 51,5% of patients. There were no absolute contraindications for parenteral prophylactic anticoagulation at the time of hospitalization in the study population.
Conclusion. All patients admitted to the cardiology department had a moderate and high according to the Caprini risk score, regardless of HF class. More than half of the patients had indications for long-term anticoagulant therapy. The remaining patients required the parenteral prophylactic anticoagulation.
About the Authors
N. K. Vereina
South Ural State Medical University
Russian Federation
Chelyabinsk
Competing Interests: Конфликт интересов отсутствует
Russian Federation
Chelyabinsk
Competing Interests: Конфликт интересов отсутствует
D. G. Agasyan
South Ural State Medical University
Russian Federation
Chelyabinsk
Competing Interests: Конфликт интересов отсутствует
Russian Federation
Chelyabinsk
Competing Interests: Конфликт интересов отсутствует
V. S. Chulkov
South Ural State Medical University
Russian Federation
Chelyabinsk
Competing Interests: Конфликт интересов отсутствует
Russian Federation
Chelyabinsk
Competing Interests: Конфликт интересов отсутствует
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For citations:
Vereina N.K., Agasyan D.G., Chulkov V.S. The risk of venous thromboembolism in patients with heart failure. Russian Journal of Cardiology. 2020;25(1):3678. https://doi.org/10.15829/1560-4071-2020-1-3678
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