Prevention of Hemostasis and Thrombosis
Besides continuous anticoagulation therapy for those at risk for recurrence of thrombosis or embolism, prevention of blood clots (thrombosis) is via altering those aspects of day-to-day life that add risk to their formation:
- A strong family history of thrombosis: Should alert someone to undergo tests for gene mutations (blood tests) before getting pregnant or beginning any hormonal medications (post-menopausal estrogen replacement or oral contraceptives).
- Avoid prolonged immobilization: By either altering a sedentary lifestyle to include routine exercise and weight management, or by incorporating physical therapy into convalescence during lengthy hospitalizations or recovery from surgery or bone fractures.
- Implement a “stand goal”: During office hours in clerical professions or during long air travel. Several smart watches use reminders for this.
- Use anti-embolic stockings for varicose veins: For those suffering from varicosities or venous stasis/insufficiency.
- A previous history of thromboembolic event: should prompt consideration for permanent anticoagulation. Rarely, inserting a inferior vena cava screen-like filter can be life-saving for those who have frequent pulmonary emboli.
- Patients with cognitive changes: Require investigation into thrombi that might be responsible for transient ischemic attacks (TIAs) or strokes; the diagnosis of arterial thrombosis can be life-saving.
- Patients with atrial fibrillation: A high risk factor for arterial embolism, should be on continuous anticoagulation.
- Smoking cessation.