Monday, June 22, 2020

Silent "killer"-watch out for VTE

1. What is VTE?

VTE is short for venous thromboembolic disease, including deep vein thrombosis (DVT) and pulmonary embolism (PE);

DVT is a series of diseases caused by abnormal clotting of blood in deep veins into a thrombus, which hinders the return of blood;

PE is a cardiopulmonary dysfunction caused by venous/right heart thrombosis, displacement with blood flow and blockage of pulmonary arteries and branches, which can be fatal!


2. What are the hazards of VTE?

VTE is the third most common cardiovascular disease killer in the world! It is a common cause that seriously affects the quality of life of patients!

1. Pulmonary embolism

Lethal/chronic pulmonary hypertension

2. DVT→PTS (post-thrombotic syndrome)

Limb swelling/ulcer/infection/gangrene

3. Who is prone to VTE?

Long-term bed/hospitalization

Senior (≥65 years old)

Cancer (Surgery/Radiotherapy/Chemotherapy)


pregnant woman

Infectious diseases such as pneumonia

4. What is the performance of VTE?

DVT: limb swelling, pain, dilation of superficial veins, skin redness, bruising; pain in ankle movement or squeezing calf (Homans sign or Neuhof sign positive);

PE: Difficulty breathing, shortness of breath, suffocation, cough, chest pain, hemoptysis, palpitation, fear, impending death, syncope, etc.

5. What to do after VTE occurs?

1. Visit the Vascular Surgery Department, and a professional doctor will examine, diagnose, and formulate a treatment plan for you;

Outpatient: Monday to Friday, up/afternoon; Friday morning, VTE specialty clinic;

Emergency: 24 hours;

2. Examination: D-dimer (venous blood test); venous color Doppler ultrasound;

3. Treatment: anticoagulation/thrombolysis/broken thrombus, suction thrombus, thrombectomy surgery/filter implantation surgery;

4. Follow-up visit: 2 weeks, 4 weeks, 12 weeks, 6 months, 1 year after receiving treatment, and return to the outpatient clinic once every six months; VTE patients can follow the "green channel for VTE follow-up visits".

6. How to prevent VTE?

1. Lifestyle prevention

"Move" to exercise on foot;

Balanced diet, eat more fresh vegetables and fruits;

Increase drinking water (>1500ml/day), "diluting" blood.

2. Physical prevention

Plantar venous pump/intermittent circulation drive/elastic socks

3. Drug prevention

Anticoagulant drugs: unfractionated heparin/low molecular weight heparin/warfarin/new oral anticoagulants (such as rivaroxaban)

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