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A family history of venous thromboembolism (VTE) increases the likelihood that a patient might have this disorder, but the degree of risk seems quite variable. To identify factors associated with a familial tendency toward VTE, investigators in Canada and France examined 915 first-degree relatives of 138 patients with provoked VTE (occurring within 3 months of major surgery, major leg trauma, immobilization, or with cancer) and 1916 first-degree relatives of 378 patients with unprovoked VTE.
Results were as follows:
The incidence of VTE was higher in relatives of index cases with unprovoked VTE than in relatives of index cases with provoked VTE (odds ratio, 2.38; 95% confidence interval, 1.43–3.85).
Risk for VTE in relatives was associated wit…