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Footnotes / Blog

Monday, October 18th, 2010 Sean Kaufman

What Is a Deep Vein Thrombosis?

Deep Vein Thrombosis (DVT), commonly known as blood clots, is a potentially life-threatening condition that can affect anyone. It occurs when a blood clot forms in the deep veins of the lower extremities. If left untreated, DVT can lead to a pulmonary embolism, which can be fatal.

Understanding DVT and Its Risks

A pulmonary embolism occurs when a blood clot breaks loose from the veins in the legs, travels to the lungs, and blocks a pulmonary artery, leading to a lung infarct. This can cause the affected portion of the lung to die, resulting in serious complications or death. DVT is the third leading cause of death following surgery, making its early detection and treatment critical.

Signs and Symptoms of DVT

The symptoms of DVT can include:

  • Swelling in one leg
  • Soreness or tenderness in the lower extremity
  • Redness or warmth in the affected area If you notice any of these signs, it’s crucial to seek medical attention immediately, as early detection can prevent further complications.

Diagnosis: Venous Doppler Exam

The gold standard for diagnosing DVT is a venous Doppler exam. This ultrasound-based test is often performed in emergency rooms and helps detect blood clots in the deep veins of the legs.

Risk Factors for DVT

Several factors increase the risk of developing DVT, including:

  • Use of birth control pills
  • Genetic predisposition (family history)
  • Atrial fibrillation (irregular heartbeat)
  • Prolonged periods of bedrest (e.g., during or after surgery)
  • Smoking
  • Obesity
  • Cancer
  • Older age

Treatment Options for DVT

Treatment for DVT typically includes anticoagulation therapy to prevent further clotting and reduce the risk of embolism. Medications may include:

  • Aspirin
  • Lovenox
  • Coumadin
  • Heparin

In some cases, a filter may be placed in the large vein (vena cava) to prevent blood clots from traveling to the lungs.