The Ottawa Hospital, Ottawa, Ontario, Canada.
Ann Intern Med. 2022 Sep;175(9):ITC129-ITC144. doi: 10.7326/AITC202209200. Epub 2022 Sep 13.
Venous thromboembolism (VTE) is the third most common cardiovascular disorder, affecting up to 5% of the population. VTE commonly manifests as lower-extremity deep venous thrombosis (DVT) or pulmonary embolism. Half of these events are associated with a transient risk factor and may be preventable with prophylaxis. Direct oral anticoagulants are effective and safe and carry a lower risk for bleeding than vitamin K antagonists. Many patients with VTE will have a chronic disease requiring long-term anticoagulation. Postthrombotic syndrome affects 25% to 40% of patients with DVT and significantly impacts function and quality of life.
静脉血栓栓塞症(VTE)是第三大常见心血管疾病,影响高达 5%的人口。VTE 通常表现为下肢深静脉血栓形成(DVT)或肺栓塞。这些事件中有一半与短暂的风险因素有关,可能可以通过预防措施来预防。直接口服抗凝剂有效且安全,出血风险低于维生素 K 拮抗剂。许多 VTE 患者将患有需要长期抗凝的慢性疾病。血栓后综合征影响 25%至 40%的 DVT 患者,显著影响功能和生活质量。