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Heparin-induced thrombocytopenia causes

Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor-In-Chief: Cafer Zorkun, M.D., Ph.D. [2], Aric C. Hall, M.D., [3] Shyam Patel [4]

Overview

Overview

Heparin-induced thrombocytopenia is caused by a variety of factors. It is typically caused by unfractionated heparin (moreso than low-molecular weight heparin). Females are more likely to develop HIT. Patients undergoing cardiac surgery are more likely to develop HIT.

Causes

Causes

  • HIT is always caused by exogenous heparin or heparinoid exposure.
  • Duration of heparin treatment: long duration, up to 2 weeks is associated with the greatest risk.[1]
  • The type of heparin involved: unfractionated heparin (UFH) puts patients at greater risk of HIT than low molecular weight heparin LMWH.[1]
Reference

Reference

  1. 1.0 1.1 Lee GM, Arepally GM (2013). “Diagnosis and management of heparin-induced thrombocytopenia”. Hematol Oncol Clin North Am. 27 (3): 541–63. doi:10.1016/j.hoc.2013.02.001. PMC 3668315. PMID 23714311.

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