Clinical value of determination of markers of a thrombophylia at patients with the complicated pregnancy in the anamnesis
Margarita Darchoevna Andreeva
Journal of obstetrics and women's diseases ›› 2015, Vol. 64 ›› Issue (2) : 13 -17.
Clinical value of determination of markers of a thrombophylia at patients with the complicated pregnancy in the anamnesis
The results of the survey of 214 patients with the complicated pregnancy (a preeclampsia, a premature detachment of placenta, antenatal fetal death, miscarriage) in the anamnesis are presented in the article. We determined the level of molecular markers of a thrombophilia (TAT, D-dimer) and aggregation activity of platelets and carried out antithrombotic therapy to these women. It is shown that 47,7 % of such nonpregnant women and pregnant early terms have the high level of D-dimer, TAT - 46,7 %, aggregation activity of platelets - 52,6 %. Determination of the increased levels of molecular markers of a thrombophilia is the indication to application the antithrombotic therapy and allow to control efficiency of this therapy.
D-dimer / TAT / thrombophilia / markers of thrombophilia / preeclampsia / premature detachment of placenta / antenatal fetal death / miscarriage
| [1] |
Самбурова Н. В. Клиническое значение контроля маркеров активации свертывания крови при проведении противотромботической терапии у беременных, рожениц и родильниц с тромбофилией: дис… канд. мед. наук. М. 2008; 132 с. |
| [2] |
Тромбогеморрагические осложнения в акушерско-гинекологической практике: Руководство для врачей. Под ред. А. Д. Макацария. М. 2011; 1056 с. |
| [3] |
Kovac M., Mitic G. et al. Thrombophilia in women with pregnancy-associated complications: fetal loss and pregnancy-related venous thromboembolism. Gynecol. Obstet. Invest. 2010; 69 (4): 233-8. |
| [4] |
Lykke J. A., Bare L. A., Olsen J. et al. Thrombophilias and adverse pregnancy outcomes: results from the Danish National Birth Cohort. J. Thromb. Haemost. 2012; 10 (7): 1320-5. |
| [5] |
Pabinger I. Thrombophilia and its impact on pregnancy. Thromb Res. 2009; 123 (3): 16-21. |
| [6] |
Rodger M. A. An update on thrombophilia and placenta mediated pregnancy complications: What should we tell our patients? Thromb. Res. 2013; 131 (1): 25-7. |
Andreeva M.D.
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