Please cite this article in press Erum Javed et al., Incidence of Deep Vein Thrombosis in Congestive Heart Faliure
Patients Hospitalized For Non Invasive Procedures, Indo Am. J. P. Sci, 2018; 05(04).
DVT diagnosis: CT scans using techniques of ultrasonography was sent to the central committee of
imaging which include magnetic resonance evaluation to identify DVT on presence based on
venography, UltraSonic venography and i.v contrast these homogenous information and images.
DVE. These include U.S Noninvasive and diagnosis
criteria of lower extremity DVT have been RESULTS:
standardized. By the American Civil Medical The study started in January 2016 (first patient was
Association in 2014. For this reason, we believe that taken) and January 2017 (last patient was taken) and
we are familiar with energy efficiency. UU., Chaudhary Pervaiz Elahi Institute Cardiology
Repeatable and reliable. The diagnostic procedure for (CPEIC), Multan.
medical researchers and technology specialists took
place before the training session began. 44 patients were included in the study, including the
Ultrasonography and symptomatic diagnosis were average male and 25 female and 14-NYHA III-IV
performed at the 7th day and at 2 weeks of the bed NYHA and 30 (Table 1) and 79.1 ± 10.6 years. No
ridden patient's. patients were detected early or from the data analysis.
The patient's symptoms and signs were then atrioventricular block (n =0 4), atrial fibrillation (n =
suspected and the DVT test was performed. The test 05), hyperintense cardiovascular disease = 02) and
part of the United States is the lower extremity, the others (n = 04). The most common symptom in
base of the vein's foot; Pulmonary thromboembolism patients was orthopneus, juguler ven, ral heart
was not assessed in this research. Again old thrombi growth.
and diagnosis (soft glasses (stenosis (obstruction or DVT, congestive heart failure, and 95.1% of the
stenosis) and tension (swollen or extract), patients had reliable 20.1%, 48.1% and 34.1%
(independent or fixed) variables, regression (no / (15/44) patients, respectively. There was no
medium or severe severity), consistency, acute significant statistically difference between TVP +ve
disorders (low or high), homogeneity, moderate or clinical features (n = 14) and -ve (n = 28). Details of
high thrombus perfusion (wholly or partially)), or the patients characteristics classified according to the
appropriate thrombus flat or irregular recanalization absence or presence of DVT is given in Table 2.
(low or no) of the lower extremity evaluators Ultra
The main results of comparing the incidence of the than the group with negative mean DVT, but no
key parameters are shown in Table 3. (25%) with significant difference. ), 19 male patients (32%) and
physical prophylaxis was observed in 8 (25%) indole 9 female patients (36%) had DVT. Subgroup analysis
DVT. Patients using antiplatelet agents in 12 patients. of the NYHA class did not reveal any differences in
The group with positive DVT had a lower mean age the development of DVT (IV versus III).
(81.1 ± 10.8 years vs. 75.1 ± 9.3 years, p = 0.078)
A DVT v status of 16 patients with DVT positive is 12 asymptomatic and two symptomatic patients were
given in Table 4. There were three symptomatic with nonfractionated warfarin and
symptomatic(20%) and 3 proximal (20%) (including heparin and 3 with nonfractionated heparin patients
popliteus 15 positive DVT types. In 11 (25%) new with DVT were assessed 2 days after the D-dimer of
and old thromboses a new thrombus formation was the United States and the standard cut-off value of D-
detected, including three. Three patients were treated: dimer noted higher than the in all samples.
DISCUSSION: REFERENCES:
This is a prospective, multicenter epidemiological 1. Alaskar FA, Albahili FK, Hussain MA,
study aimed at estimating the incidence of DVT in Khurfan BW. Acute Lower Limb Deep Venous
patients in a non-surgical hospital and 40% in Thrombosis Diagnosed by Doppler Ultrasound
patients with congestive heart failure. During the use among Bedridden Patients. Egyptian Journal of
of the USA, one or more thrombi per week may be Hospital Medicine. 2018 Feb 16;70(10).
detected as elderly, while a thrombus formed within 2. Li Z, Zhou X, Cao J, Li Z, Wan X, Li J, Jiao J,
about 1 week can be redefined, and thus the majority Liu G, Liu Y, Li F, Song B. Nurses’ knowledge
of the newly formed thrombus is EE. U. For this and attitudes regarding major immobility
study, recruitment may have occurred after bed rest. complications among bedridden patients: a
In addition, some patients have developed DVT prospective multicentre study. Journal of
treated with physical prophylaxis or antiplatelet clinical nursing. 2018 Mar 15.
drugs. Nose et al. Reported that the rate of popliteal 3. Pawar SA, Chaudhari T, Giri S. Stage of
venous flow in the CHF group was significantly involvement, type of occlusion, pattern of
lower than the control group in the cricoid state, involvement of thrombi with evidence of DVT
suggesting that patients with CHF have potential on Doppler Ultrasonography. PARIPEX-
risks associated with DVT. Our findings suggest that INDIAN JOURNAL OF RESEARCH. 2018
an additional approach, including the use of Feb 14;6(3).
anticoagulants, should be considered to prevent 4. Fong B, Novak D, Dalley M, Alfred G.
patients with non-surgical hospitalization in non- Bilateral Phlegmasia Cerulea Dolens After
surgical patients by following DVT prevention Warfarin Reversal for Acute Rectal Bleeding: A
guidelines. Case Report. The Journal of emergency
medicine. 2018 Feb 12.
In this study, the majority of newly formed DVT 5. Pawar SA, Chaudhari T, Giri S. Clinical
patients did not receive any treatment. Ten of the 11 spectrum of findings in deep venous thrombosis
patients with new thrombus had a distal venous of lower limbs referred for color Doppler
thrombus. The other patient with a new thrombus had ultrasound. INDIAN JOURNAL OF APPLIED
a proximal venous thrombus, but the proximal RESEARCH. 2018 Feb 15;7(2).
extremity was asymptomatic popliteal ven. Based on 6. Alper EC, Ip IK, Balthazar P, Piazza G,
these conditions of DVT patients, the doctors did not Goldhaber SZ, Benson CB, Lacson R,
immediately decide on medical intervention. The Khorasani R. Risk Stratification Model: Lower-
guidelines of the American College of Chest Diseases Extremity Ultrasonography for Hospitalized
(ACCP) recommend regular follow-up of DVT in Patients with Suspected Deep Vein Thrombosis.
patients with isolated acute DVT and who do not Journal of general internal medicine. 2018 Jan
have severe symptoms without prolonged risk factors 1;33(1):21-5.
for anticoagulant therapy. 7. Kaur U, Chakrabarti SS, Manna S, Gambhir IS.
Severe haematuria of lower urinary tract origin
Another limitation of this study would be the CHF with low dose dabigatran use in three Indian
profile alone with the NYHA classification. elderly patients: unresolved issues in the safety
Additional studies involving objective indices of novel oral anticoagulants. Therapeutic
including brain natriuretic peptides, ejection fraction, advances in drug safety. 2018 Jan;9(1):89-91.
and left ventricular end-diastolic dimensions and 8. Osman AA, Ju W, Sun D, Qi B. Deep venous
additional studies involving ICC profiles and thrombosis: a literature review. Int J Clin Exp
examining the relationship between objective rates Med. 2018;11(3):1551-61.
and DVT formation may provide additional 9. Farina A, Imberti D, Alonzi A, Cecchi R.
information. Thromboprophylaxis with nadroparin in the
orthopaedic setting, a brief appraisal of the
As a result, the DVT frequency (34.1%) among recent literature. Medical Research Archives.
Pakistani patients hospitalized in Pakistan is similar 2018 Feb 15;6(2).
to that of Westerners and at the same time 10. Fukazawa, Kyota, Ernesto A. Pretto, Seigo
postoperative disease (27.4-50.0%) in orthopedic Nishida, Jorge D. Reyes, and Edward
surgery in Pakistan is similar. This study showed that Gologorsky. "Factors associated with mortality
patients with congestive heart failure in hospitalized within 24 h of liver transplantation: An updated
patients had a high risk for DVT and therefore could analysis of 65,308 adult liver transplant
be considered as a potential benefit in the prevention recipients between 2002 and 2013." Journal of
and treatment of DVT according to the guidelines. clinical anesthesia 44 (2018): 35-40.
11. Sieke EH, Rome ES. Case of a Girl with scores and padua scores in deep vein
Special Needs Seeking Menstrual Management. thrombosis diagnosis. In IOP Conference
InAdolescent Gynecology 2018 (pp. 235-250). Series: Earth and Environmental Science (Vol.
Springer, Cham. 125, No. 1, p. 012131). IOP Publishing.
12. Gatot, D. and Mardia, A.I., 2018, March.
Differences of wells scores accuracy, caprini