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Worried about blood clots? Here’s what you need to know

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A blood clot in the body. Alamy/PA.

By Liz Connor

Every 37 seconds, someone in the Western world dies from a venous thromboembolism (VTE), where a blood clot forms, most often in the deep veins of the leg, groin or arm.

While clotting is a normal process that can prevent us from losing too much blood when wounded, clots that don’t dissolve can be dangerous, and even life-threatening in some instances.

Blood clots have also become a talking point recently, after a potential link between AstraZeneca’s Covid vaccine and a spate of blood clotting events.

“Blood clot is a generic term for a thrombosis, which put simply, is an obstruction of a vessel (arterial or venous) by a build-up of platelets and a number of different blood products,” says Dr Emeka Okorocha.

“If a particle of another product breaks off, it gets thicker and travels around the vessels, and may get stuck or create an obstruction. We call this an ’embolism’, which is also a form of blood clot.

“This process could be triggered by an injury, but in some cases blood clots occur inside vessels where there has been no obvious injury.”

Blood clots can potentially affect anyone, although some lifestyle and genetic factors may put some people at higher risk.

“If you’re obese, bedridden after an operation, have very prominent varicose veins, are pregnant or are on an oestrogen oral contraceptive pill, then you may have an increased risk of blood clots,” says Dr Paul Ettlinger.

They can also be associated with long lengths of time being inactive, and long-haul flights. According to National Blood Clot Alliance, cancer, major surgery, the use of hormone therapy, smoking and being aged over 55 can also be risk factors. Genetic factors may also apply.

It’s not always easy to spot whether you have a blood clot, because the symptoms are different depending on where you think you have it. But there can be some warning signs, especially for deep vein thrombosis (DVT).

“A DVT is commonly found in the leg, so look out for a painful swelling in the calf,” says Ettlinger. “This often happens after a period of immobility, which is why being on a long-haul flight or surgery can often cause an incident.

“Breathlessness and chest pain on breathing can be a sign that a clot has broken off and has entered the lung,” he adds (known as pulmonary embolism).

“Medical experts often treat blood clots with blood thinning medication, such as anticoagulants,” explains Emeka. “We normally inject the medicine into the patient for a number of weeks, which basically thins the clot and reduces the more severe effects on the body.

In more severe cases, a percutaneous coronary intervention (aka a non-surgical angioplasty) is used to treat blood clots. If a blood clot is caused by something more serious and it has occluded in a vessel, then surgery can be performed. This involves a surgeon entering the vessel, stenting it and removing the clot completely.

“While there have been some reports of people suffering blood clots after receiving the AstraZeneca Covid-19 vaccine, the risk is minimal and the benefits outweigh the risk by a long way,” assures Emeka. “With a risk of only four in 1 million, people should not be worrying about developing blood clots following the vaccine and, on the whole, blood clots occur for a number of reasons, including lifestyle factors.”

As with many conditions, living a healthy lifestyle is one of the best preventative measures we can take. “It’s difficult to say whether you can completely prevent any clots from occurring, but if you keep your weight down, your cholesterol down, and control your blood sugar levels, then these can all contribute to reducing your risk,” says Emeka.

“One of the best ways to manage this is via a healthy diet and regular exercise. The NHS recommend at least 150 minutes of moderate-intensity activity a week, or 75 minutes of vigorous-intensity activity. If you’re not sure where to start, fitness apps like Freeletics (freeletics.com) can be incredibly beneficial.”

And Emeka adds: “Lastly, if you are taking the oral contraceptive pill or have blood clots in your family history, it’s advisable that you make sure you’re speaking to your doctor regularly about your risk.” While blood clots can be serious, they’re very treatable if caught in time.

 

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