Blood clotting, or coagulation, is an important process that
prevents excessive bleeding when a blood vessel is injured.
Platelets and proteins in your plasma work together to
stop the bleeding by forming a clot over the injury. Typically,
your body will naturally dissolve the blood clot after the injury
has healed. Sometimes, however, clots form on the inside of vessels
without an obvious injury or do not dissolve naturally. These
situations can be dangerous and require accurate diagnosis and
appropriate treatment.
Clots can occur in veins or arteries. Deep vein thrombosis (DVT)
is a type of clot that forms in a major vein of the leg or, less
commonly, in the arms, pelvis, or other large veins in the body. In
some cases, a clot in a vein may detach from its point of origin
and travel through the heart to the lungs where it becomes wedged,
preventing adequate blood flow. This is called a pulmonary (lung)
embolism (PE) and can be extremely dangerous.Arteries, on the other
hand, are muscular, high-pressure vessels that carry oxygen- and
nutrient-rich blood from the heart to other parts of the
body.Clotting that occurs in arteries is usually associated with
atherosclerosis (hardening of the arteries), a deposit of plaque
that narrows the inside of the vessel. As the arterial passage
narrows, the strong arterial muscles continue to force blood
through the opening, and the high pressure can cause the plaque to
rupture. Molecules released in the rupture cause the body to
overreact and form an unnecessary clot in the artery, potentially
leading to a heart attack or stroke. When the blood supply to the
heart or brain is completely blocked by the clot, a part of these
organs can be damaged as a result of being deprived of blood and
its nutrients.
The risk factors for developing a venous clot are different from
those for an arterial clot, and people at risk for getting one are
not necessarily at risk for getting the other. Different risk
factors or events can cause unnatural clotting; however, each
factor may initiate clotting in a different way. Certain risk
factors, such as obesity, slow the flow of blood in the veins,
while others, such as age, can increase the body's natural ability
to clot. Even certain medications can affect how quickly your blood
clots.
The following factors increase your risk of developing a
blood clot:
- Obesity: is a well-known risk factor for
clots in deep veins (usually in the legs) and for
pulmonary embolism, a clot in blood vessels of the lungs that can
result in sudden death or strain on the heart. Together, the two
conditions are called venous thromboembolism (VTE)
- Pregnancy:During pregnancy, blood is more
likely to clot as a safeguard against losing too much
blood during labor. However, a condition known as
deep-vein thrombosis (DVT), which happens when blood clots form in
the legs and pelvic region, can occur and is linked with a number
of serious health concerns.
- Immobility (including prolonged inactivity, long trips
by plane or car):Prolonged immobility, especially when
seated, can lead to pooling of blood in the legs,
which in turn may cause swelling, stiffness and discomfort. It is
known that immobility is one of the factors that
may lead to the development of a blood clot in a
deep vein – so-called “deep vein thrombosis” or DVT.
- Smoking:Smoking raises the risk of unwanted
blood clots and makes it more likely that platelets will stick
together. Smoking also damages the lining of the blood vessels,
which can cause clots to form. Increased homocysteine levels,
linked to a high risk of vascular disease.
- Oral contraceptives:Most oral contraceptives
contain an estrogen and a progestin (synthetic progesterone).
Estrogen and progesterone have many effects on a woman's body.These
hormones also increase the levels of clotting factors and are
assumed to be responsible for women's increased risk of blood clots
during pregnancy.
- Certain cancers:Cancer patients are at a
higher risk than the general population of developing serious blood
clots, including deep vein thrombosis (DVT) in the legs or
pulmonary emboli in the lungs, which can be fatal. ... Individuals
over the age of 60 are at the highest risk of developing blood
clots.
- Trauma:Blood clots are semisolid masses of
blood. Like bruises, they form when a blood vessel is injured by
trauma from blunt force, a cut, or excess lipids in the blood. When
you're injured, cell fragments called platelets and proteins in
blood plasma will stop the injury from bleeding.
- Certain surgeries:Surgery is one of the major
causes of deep vein thrombosis
(DVT), a blood clot that forms in the deep veins
of your body, often in your leg. ... This is called
a pulmonary embolism (PE), and it can be
life-threatening if it blocks blood flow
- Age (increased risk for people over age
60):Blood clots can affect anyone at any
age, but certain risk factors, such as surgery,
hospitalization, pregnancy, cancer and some types of cancer
treatments can increase risks. In addition, a
family history of blood clots can increase a
person's risk.
- A family history of blood clots
- Chronic inflammatory diseases:Inflammation may
cause deadly blood clots. People who are suffering
from a severe infection are more likely to develop dangerous
blood clots, a new study suggests.They also
identified nearly 4000 patients who had suffered a pulmonary
embolism – a dangerous blood clot in the lungs.
- Diabetes:Diabetes increases the risk of plaque
buildup in the arteries, which can cause dangerous blood clots.
Nearly 80 percent of people who have diabetes will eventually die
of clot-related causes. Heart failure is a condition in which the
heart is damaged or weakened.
- High blood pressure:Blood vessels damaged by
high blood pressure can narrow, rupture or leak. High blood
pressure can also cause blood clots to form in the
arteries leading to your brain, blocking blood flow and potentially
causing a stroke
- High cholesterol:It carries cholesterol to
your arteries. The buildup is also known as cholesterol plaque.
This plaque can narrow your arteries, limit your
blood flow, and raise your risk of blood
clots. If a blood clot blocks an artery in your heart or
brain, it can cause a heart attack or stroke.
- Prior central line placement:It carries
cholesterol to your arteries.The buildup is also known as
cholesterol plaque. This plaque can narrow your arteries, limit
your blood flow, and raise your risk of blood clots. If a blood
clot blocks an artery in your heart or brain, it can cause a heart
attack or stroke.