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It is more likely to be cost-effective in people with a strong personal or family history of thrombosis.
Patients with no history of thrombosis and a lupus anticoagulant should probably be observed.
The authors, however, pointed out that anticoagulation was not systematically stopped in patients with a previous history of thrombosis.
Eighteen percent were ascribed to blood clots; the victims tended to be women over 40 with a history of thrombosis in deep veins.
Patients with a well-documented (i.e., present at least twice) lupus anticoagulant and a history of thrombosis should be considered candidates for indefinite treatment with anticoagulants.
There are people for whom the risks are considered too high, such as smokers over the age of 35, or those with a history of thrombosis but your doctor will assess your risk level.