Re: PE in Pregnancy

From: Geffrey Klein, MD (gklein@bcm.tmc.edu)
Wed Oct 25 21:05:04 1995


>Question: A patient at 32-33 weeks Gestation with a PE. Now in Hospital on
>Heprin. Would you keep in hopital until delivery, Home on continous IV
>Heprin ( has 2 small children at home, lives on third floor, no major
>support. Any Help appreciated
>Myer S. Bornstein MD
>Taunton, MA

Dr. Moise will get a kick out of my diagnostic evaluation for patient's with DVT's and PE's.. (we talked about it on rounds the other day)..

Apparently there is an inherited factor Va mutation that is present in 5% of the population. This defect results in continued coagulation due to inability for activated protein C to inactivate factor V. A genetic test can now be performed for this coagulation problem..

If you want more info, I imagine Dr. Moise could shed some light on it.. <kmoise@bcm.tmc.edu>

cul8r

Geff Klein, MD Baylor College of Medicine, Dept OB-GYN 1 Baylor Plaza Houston, Texas 77030 Tel # 713 798 7500 e-mail: gklein@bcm.tmc.edu http://www.bcm.tmc.edu/obgyn/obgyn-ce/geff.html listowner: OB-GYN-L





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