Thromb Haemost 2015; 113(06): 1176-1183
DOI: 10.1160/TH14-06-0563
Theme Issue Article
Schattauer GmbH

Epidemiology and pathophysiology of venous thromboembolism: similarities with atherothrombosis and the role of inflammation

Nicoletta Riva
1   Research Center on Thromboembolic Diseases and Antithrombotic Drugs, Department of Clinical and Experimental Medicine, University of Insubria, Varese, Italy
,
Marco P. Donadini
1   Research Center on Thromboembolic Diseases and Antithrombotic Drugs, Department of Clinical and Experimental Medicine, University of Insubria, Varese, Italy
,
Walter Ageno
1   Research Center on Thromboembolic Diseases and Antithrombotic Drugs, Department of Clinical and Experimental Medicine, University of Insubria, Varese, Italy
› Author Affiliations
Further Information

Publication History

Received: 29 June 2014

Accepted after major revision: 30 October 2014

Publication Date:
18 November 2017 (online)

Summary

Venous thromboembolism (VTE) is a multifactorial disease. Major provoking factors (e. g. surgery, cancer, major trauma, and immobilisation) are identified in 50–60 % of patients, while the remaining cases are classified as unprovoked. However, minor predisposing conditions may be detectable in these patients, possibly concurring to the pathophysiology of the disease, especially when co-existing. In recent years, the role of chronic inflammatory disorders, infectious diseases and traditional cardiovascular risk factors has been extensively investigated. Inflammation, with its underlying prothrombotic state, could be the potential link between these risk factors, as well as the explanation for the reported association between arterial and venous thromboembolic events.