Factor V Leiden and Venous Thromboembolism: Risk Associated With Hormone Replacement Therapy

Keywords

Factor V Leiden, thrombotic mutations, prothrombotic mutations, hormone replacement therapy, deep venous thrombosis, venous thrombotic event

Abstract

Purpose

To determine the risk‐benefit ratio of hormone replacement therapy (HRT) and the cost‐effectiveness of screening in perimenopausal and postmenopausal women who are carriers of factor V Leiden, as well as to provide evidence‐based clinical recommendations for the primary care provider.

Data Sources

Databases searched included EMBASE, BIOSIS, MEDLINE, CINAHL, PubMed, SciSearch, and the Cochrane Database. Two reviewers extracted, reviewed, and concurred upon relevant evidence identified in the data‐bases.

Results

Results confirmed that all women have a higher risk for the development of venous thrombosis while on HRT. The presence of a genetic mutation, such as factor V Leiden, in combination with HRT dramatically increased an individual's chance for developing venous thrombi.

Conclusion/Implications

Based on the findings of the studies reviewed, it is recommended that women wishing to initiate HRT be thoroughly screened for known risk factors of thrombosis. If risk factors are identified, genetic testing for factor V Leiden may be warranted.

Original Publication Citation

Park, B. D., Lookinland, S., Beckstrand, R. L., & Chasson, S. (2003). Factor V Leiden and venous thromboembolism: risk associated with hormone replacement therapy. Journal of the American Academy of Nurse Practitioners, 15(10), 458-466.

Document Type

Peer-Reviewed Article

Publication Date

2003-10

Permanent URL

http://hdl.lib.byu.edu/1877/8029

Publisher

Journal of the American Academy of Nurse Practitioners

Language

English

College

Nursing

University Standing at Time of Publication

Full Professor

Link to Full Text

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