What are the testing recommendations for patients who have an identifiable thrombophilic risk factor?

Updated: Jan 05, 2018
  • Author: Paul Schick, MD; Chief Editor: Srikanth Nagalla, MBBS, MS, FACP  more...
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Answer

Patients who have an identifiable thrombophilic risk factor should be advised to have blood relatives tested, as this information would be important for their physicians, in  deciding whether to recommend oral contraception or hormone replacement therapy. Also, this will help determine whether these relatives should receive anticoagulation during surgery or immobilization.

In addition to the challenge of deciding who should be tested, clinicians need to be aware of when to test—or more precisely, when not to. Many of the tests (coagulation-based studies) should not be done while patients are on anticoagulants or during active thrombosis.


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