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Factor V Leiden & Pregnancy Karl Robstad, MD Albany Medical Center Department of Pathology
Causes of inherited thrombophilia ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Demographics ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Sequellae ,[object Object],[object Object],[object Object]
Additional risk factors ,[object Object],[object Object],[object Object],[object Object]
[object Object],0.02 2.8 Prothrombin mutation 0.02 2.5 Hyperhomocysteinemia 0.5 – 1.0 80 FVL homozygous 0.29 35 FVL heterozygous + OCP 0.03 4 Oral contraceptive pills 0.06 7 Factor V Leiden heterozygous 0.008 1 Normal Incidence (% per year) Relative risk Condition
Normal Physiology ,[object Object],[object Object]
Coagulation cascade: schematic
Factor V Leiden Protein C
Genetics ,[object Object],[object Object],[object Object]
Recommendations for Testing ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Consideration for Testing ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Screening for Factor V Leiden ,[object Object],[object Object],[object Object],[object Object],[object Object]
Factor V Leiden: Treatment ,[object Object],[object Object]
Factor V Leiden: Treatment ,[object Object],[object Object],[object Object],[object Object],[object Object]
FVL and Pregnancy ,[object Object],[object Object],[object Object],[object Object],[object Object]
Pregnancy ,[object Object],[object Object],[object Object],[object Object],[object Object]
Pregnancy ,[object Object],[object Object]
Case Study ,[object Object],[object Object],[object Object],[object Object]
Treatment in Pregnancy ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Treatment in Pregnancy ,[object Object],[object Object],[object Object],[object Object]
References ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

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Cp Rounds Factor V Leiden & Pregnancy