Deep vein thrombosis
Encounter flow
11/12 authoredCanonical 12-phase frame with authored status for this dossier.
Frame
Outpatient candidacy for uncomplicated DVT (ASH 2020; PMID 33007077)
patient is hemodynamically stable, no concurrent PE features
Patient inputs (9)
Age-adjusted D-dimer (ADJUST-DVT/PE; Righini JAMA 2014)
Baseline platelets / bleeding before AC (ASH 2020)
Proximal vs distal DVT — drives treatment vs surveillance (ASH 2018; ACCP 2016)
Provoked vs unprovoked drives AC duration (Kearon Chest 2016; ASH 2020)
DOAC + LMWH renal dose adjustment per FDA labeling and ACCP 2016
Cancer-VTE → oral Xa preferred (CARAVAGGIO Agnelli NEJM 2020; Hokusai-VTE-cancer Raskob Lancet Haematol 2018); GI/GU mucosal favors LMWH
LMWH first-line in pregnancy; DOAC contraindicated (ASH 2018; ACOG 2018)
Recurrence drives extended AC consideration (ACCP 2016 Kearon; ASH 2020)
HAS-BLED for AC bleed risk (Pisters Chest 2010)
* = hard-required. Engine cannot meaningfully run until these are filled.
Severity triggers (6)
- informationallife_threateningphlegmasia_cerulea_dolensLimb-threatening DVT — pale or blue, cold, severely painful limb with severe iliofemoral DVT (ASH 2020)Trigger could not be auto-evaluated — needs clinician judgement.
- informationallife_threateningmajor_bleed_on_acMajor bleeding on DOAC or warfarin (Hgb drop >2, transfusion, ICH, GI requiring hospitalization) per ISTH criteria 2005Trigger could not be auto-evaluated — needs clinician judgement.
- informationalsevereconcurrent_peDVT + PE features (dyspnea, hypoxemia, RV strain on echo, syncope) per ESC 2019Trigger could not be auto-evaluated — needs clinician judgement.
- informationalseverepregnancy_with_dvtPregnant patient with new or known DVT (ASH 2018)Trigger could not be auto-evaluated — needs clinician judgement.
- informationalmoderateunprovoked_dvt_age_over_50Unprovoked DVT in patient >50 years (ASH 2020)Trigger could not be auto-evaluated — needs clinician judgement.
- informationalmoderatecancer_associated_VTE_GI_GUActive GI or GU cancer with mucosal lesions causing recurrent bleed risk (ISTH 2022)Trigger could not be auto-evaluated — needs clinician judgement.
Workflow calculators
Run this disease's risk and dosing calculators inline.
Recommended regimen
DVT anticoagulation — DOAC-first per ASH 2020 / ACCP 2021- apixabanfirst lineDOAC_FXa10 mg BID × 7 days → 5 mg BID • PO • BIDtriggers: acute_VTE, no_pregnancy, no_active_GI_GU_malignancyAMPLIFY (Agnelli NEJM 2013; PMID 23808982) — no LMWH bridge needed; preferred over warfarin per ASH 2020rxcui 1364430
- rivaroxabanfirst lineDOAC_FXa15 mg BID × 21 days → 20 mg daily with food • PO • BID then dailytriggers: acute_VTE, no_pregnancyEINSTEIN-DVT (Bauersachs NEJM 2010) — no LMWH bridge; CrCl ≥30rxcui 1114195
- edoxabanfirst lineDOAC_FXa60 mg daily (30 mg if CrCl 15–50, ≤60 kg, or P-gp inhibitor) • PO • once dailytriggers: acute_VTE_after_5d_LMWHHokusai-VTE (Büller NEJM 2013; PMID 23991658) — requires 5-day LMWH lead-inrxcui 1599538
- dabigatranfirst lineDOAC_DTI150 mg BID after 5–10 d LMWH lead-in • PO • BIDtriggers: acute_VTE_after_LMWHRE-COVER (Schulman NEJM 2009) — needs LMWH lead-in; idarucizumab reversal availablerxcui 1546356
- enoxaparinfirst lineLMWH1 mg/kg SC q12h OR 1.5 mg/kg SC daily (CrCl <30: 1 mg/kg daily) • SC • q12h or dailytriggers: cancer_VTE_GI_GU_mucosal, pregnancy, severe_renal_impairment_<30_with_specialistCLOT (Lee NEJM 2003) — preferred in active GI/GU mucosal cancer; pregnancy first-line per ASH 2018rxcui 67108
- dalteparinfirst lineLMWH200 IU/kg SC daily × 1 mo → 150 IU/kg • SC • dailytriggers: cancer_VTE_alternative_LMWHCLOT (Lee NEJM 2003) — alternate LMWH for cancer-associated VTErxcui 67109
- heparinsecond lineunfractionated_heparin80 U/kg bolus + 18 U/kg/h infusion targeting aPTT 1.5–2.5× • IV • continuoustriggers: CrCl_<15, imminent_thrombolysis_or_surgeryRapid reversibility; preferred when intervention possible (ACCP 2016 Kearon)rxcui 5224
- warfarinsecond lineVKAStart 5 mg PO with overlapping LMWH × ≥5 d AND until INR ≥2 for ≥24 h • PO • daily; INR-driventriggers: APS_triple_pos, DOAC_unavailable, cost_constraintTRAPS (Pengo Blood 2018) — warfarin preferred in triple-positive APS over rivaroxabanrxcui 11289
- fondaparinuxsecond lineindirect_FXa5 mg <50 kg / 7.5 mg 50–100 kg / 10 mg >100 kg SC daily • SC • dailytriggers: HIT_historyAlternative when LMWH/UFH not appropriate; ACCP 2016 recommendation for HITrxcui 321208
outpatient playbook — drug actions (4)
- 1. DOAC initiationrxcui 1364430Apixaban 10 mg BID × 7 d → 5 mg BID OR rivaroxaban 15 mg BID × 21 d → 20 mg daily • PO • BID then maintenancetrigger: Confirmed DVT, no contraindicationAMPLIFY (Agnelli NEJM 2013) / EINSTEIN (Bauersachs NEJM 2010) — no LMWH bridge required
- 2. LMWH if pregnancy or GI/GU mucosal cancerrxcui 67108Enoxaparin 1 mg/kg SC q12h or 1.5 mg/kg SC daily • SC • BID/dailytrigger: Pregnancy or active mucosal cancerCLOT (Lee NEJM 2003); ASH 2018 pregnancy guidance
- 3. maintenance phase (3 months)rxcui 1364430Apixaban 5 mg BID OR rivaroxaban 20 mg daily • PO • BID/dailytrigger: ContinuationStandard duration for provoked/distal DVT per ACCP 2016 Kearon
- 4. extended phase (reduced dose)rxcui 1364430Apixaban 2.5 mg BID OR rivaroxaban 10 mg daily • PO • BID/dailytrigger: Unprovoked DVT or persistent risk after 3 moAMPLIFY-EXT (Agnelli NEJM 2013) / EINSTEIN-CHOICE (Weitz NEJM 2017)
Auto-drafted A&P note
outpatientSubjective
- Possible entry pathways: Unilateral leg swelling / pain / warmth (Wells Lancet 1997); Phlegmasia cerulea dolens (limb-threatening); ASH 2020; D-dimer elevated in symptomatic patient (age-adjusted cutoff; ADJUST-DVT/PE, Righini JAMA 2014).
Objective
- No vitals, labs, or imaging entered for this encounter.
Assessment
**Deep vein thrombosis** (cardio.dvt.core.v1). Scope: Outpatient candidacy for uncomplicated DVT (ASH 2020; PMID 33007077) No severity triggers fired against current inputs.
Plan
Regimen axis: **DVT anticoagulation — DOAC-first per ASH 2020 / ACCP 2021** — step "Step 1 — Acute phase (days 0–21) — DOAC monotherapy or LMWH bridge". 1. apixaban 10 mg BID × 7 days → 5 mg BID PO BID (DOAC_FXa, first line) — AMPLIFY (Agnelli NEJM 2013; PMID 23808982) — no LMWH bridge needed; preferred over warfarin per ASH 2020 2. rivaroxaban 15 mg BID × 21 days → 20 mg daily with food PO BID then daily (DOAC_FXa, first line) — EINSTEIN-DVT (Bauersachs NEJM 2010) — no LMWH bridge; CrCl ≥30 3. edoxaban 60 mg daily (30 mg if CrCl 15–50, ≤60 kg, or P-gp inhibitor) PO once daily (DOAC_FXa, first line) — Hokusai-VTE (Büller NEJM 2013; PMID 23991658) — requires 5-day LMWH lead-in 4. dabigatran 150 mg BID after 5–10 d LMWH lead-in PO BID (DOAC_DTI, first line) — RE-COVER (Schulman NEJM 2009) — needs LMWH lead-in; idarucizumab reversal available 5. enoxaparin 1 mg/kg SC q12h OR 1.5 mg/kg SC daily (CrCl <30: 1 mg/kg daily) SC q12h or daily (LMWH, first line) — CLOT (Lee NEJM 2003) — preferred in active GI/GU mucosal cancer; pregnancy first-line per ASH 2018 6. dalteparin 200 IU/kg SC daily × 1 mo → 150 IU/kg SC daily (LMWH, first line) — CLOT (Lee NEJM 2003) — alternate LMWH for cancer-associated VTE 7. heparin 80 U/kg bolus + 18 U/kg/h infusion targeting aPTT 1.5–2.5× IV continuous (unfractionated_heparin, second line) — Rapid reversibility; preferred when intervention possible (ACCP 2016 Kearon) 8. warfarin Start 5 mg PO with overlapping LMWH × ≥5 d AND until INR ≥2 for ≥24 h PO daily; INR-driven (VKA, second line) — TRAPS (Pengo Blood 2018) — warfarin preferred in triple-positive APS over rivaroxaban 9. fondaparinux 5 mg <50 kg / 7.5 mg 50–100 kg / 10 mg >100 kg SC daily SC daily (indirect_FXa, second line) — Alternative when LMWH/UFH not appropriate; ACCP 2016 recommendation for HIT Setting playbook (outpatient) — Confirm DVT, initiate appropriate AC per ASH 2020, address provoking factors, manage outpatient anticoagulation safely with patient education 10. DOAC initiation Apixaban 10 mg BID × 7 d → 5 mg BID OR rivaroxaban 15 mg BID × 21 d → 20 mg daily PO BID then maintenance — Confirmed DVT, no contraindication (AMPLIFY (Agnelli NEJM 2013) / EINSTEIN (Bauersachs NEJM 2010) — no LMWH bridge required) 11. LMWH if pregnancy or GI/GU mucosal cancer Enoxaparin 1 mg/kg SC q12h or 1.5 mg/kg SC daily SC BID/daily — Pregnancy or active mucosal cancer (CLOT (Lee NEJM 2003); ASH 2018 pregnancy guidance) 12. maintenance phase (3 months) Apixaban 5 mg BID OR rivaroxaban 20 mg daily PO BID/daily — Continuation (Standard duration for provoked/distal DVT per ACCP 2016 Kearon) 13. extended phase (reduced dose) Apixaban 2.5 mg BID OR rivaroxaban 10 mg daily PO BID/daily — Unprovoked DVT or persistent risk after 3 mo (AMPLIFY-EXT (Agnelli NEJM 2013) / EINSTEIN-CHOICE (Weitz NEJM 2017)) Non-pharmacologic actions: - Patient education on bleeding signs + missed dose handling (ASH 2020) - Compression stockings — NOT routinely for PTS prevention (SOX trial Kahn Lancet 2014); only if symptomatic - Address provoking factors: hormonal therapy, immobility, surgery, smoking (ACCP 2016) - Cancer screening per age-appropriate guidelines (no extensive search per SOME Carrier NEJM 2015) - Discuss fall prevention if elderly (ASH 2020) AVOID / contraindication checks: - DOAC_avoid_pregnancy_use_LMWH (ASH 2018) - DOAC_avoid_active_GI_GU_mucosal_cancer_use_LMWH (CARAVAGGIO subgroup; Agnelli NEJM 2020) - Warfarin_for_APS_triple_pos_TRAPS (Pengo Blood 2018) - DOAC_renal_dosing_per_label (FDA 2023) - Thrombolysis_bleed_risk_assessment (ATTRACT Vedantham NEJM 2017) - Warfarin_drug_interaction_screen (ACCP 2016)
Monitoring
Regimen monitoring: - creatinine q6-12 months DOAC (ASH 2020) - INR q4 weeks warfarin at steady state (ACCP 2016) - CBC at baseline and periodically (ASH 2020) - PT/PTT baseline (ASH 2020) - platelets q1-3 d first 2 weeks LMWH for HIT screen (ASH 2018) - reassess AC at 3 months provoked vs unprovoked (ACCP 2016 Kearon) Setting (outpatient) monitoring: - Bleeding screen at each visit (ASH 2020) - Creatinine q6–12 months on DOAC (ASH 2020) - INR q4 weeks if warfarin (ACCP 2016) - Annual reassessment of provoked vs unprovoked status + extended therapy decision (ACCP 2016 Kearon) Follow-up plan: 3-month vs extended AC review at 3 mo for unprovoked (ACCP 2016); DASH (Tosetto JTH 2012)/HERDOO2 (Rodger BMJ 2017) risk-of-recurrence; aspirin after stopping AC (ASPIRE Brighton NEJM 2012); PTS rehabilitation - Close-out criterion: follow-up + duration plan finalized Monitoring phase: No routine PT/INR for DOAC (ASH 2020); periodic creatinine; bleeding surveillance; PTS screen
Disposition
Current setting: outpatient — Confirm DVT, initiate appropriate AC per ASH 2020, address provoking factors, manage outpatient anticoagulation safely with patient education Disposition criteria: - Outpatient AC if proximal/distal DVT, hemodynamically stable, no PE, reliable patient (ASH 2020) - Inpatient if phlegmasia, massive iliofemoral, concurrent PE, social factors (ASH 2020) Escalation triggers (move to higher acuity): - New PE symptoms (dyspnea, hypoxemia, RV strain) → ED + CT-PA (ESC 2019 Konstantinides) - Phlegmasia cerulea dolens → ED for thrombolysis evaluation (ASH 2020) - Major bleed → hold AC, ED, reversal (ACCP 2016) - Recurrence on AC → switch agent, evaluate APS / cancer (ASH 2020)
Patient Action Plan
**DVT anticoagulation + bleed action plan (ASH 2020)** Personalised values: AC_drug, AC_duration_plan, next_lab_date, reversal_pathway. **Doing well — leg improving, no bleed, AC adherent (ASH 2020)** (green): Triggers: - Leg swelling and pain improving - No bleeding (no melena, hematuria, severe bruising) - Taking AC as prescribed (ACCP 2016) Actions: - Continue AC every day (ASH 2020) - Keep follow-up appointments - Stay active (walking) but avoid contact sports (ASH 2020) - Do not skip a dose; if missed, take when remembered (apixaban: skip if >6 h late per FDA label 2023) **Caution — minor bleed, missed dose, leg worse (ASH 2020)** (yellow): Triggers: - Easy bruising or minor nosebleed lasting >10 min (ISTH bleeding definition 2005) - Missed AC dose >1 - New leg pain or swelling without limb-threatening features - Black stools without dizziness (ACCP 2016) Actions: - Resume AC at next dose (ASH 2020) - Apply pressure to bleeding - Schedule provider visit within 24–48 h - Ultrasound may be repeated by provider (ASH 2018) Contact provider when: - Bleeding does not stop in 15 min with pressure - Multiple missed doses (ACCP 2016) - Worsening leg symptoms **Medical alert — major bleed, PE, or limb-threatening DVT (ASH 2020)** (red): Triggers: - Vomiting blood, melena, severe nosebleed, intracranial symptoms (severe headache, vision change, weakness, confusion) per ISTH major bleeding criteria 2005 - Sudden chest pain, dyspnea, syncope, hemoptysis (PE concern; ESC 2019) - Severe leg pain + cold/pale/blue limb (phlegmasia; ASH 2020) - Major trauma or fall with head injury on AC (ACCP 2016) Actions: - Call 911 / go to ED immediately - Bring AC name + last dose time - Apply pressure to external bleeding - Do NOT take additional AC doses (ASH 2020) Contact provider when: - Any red zone symptom — ED is destination (ASH 2020)
Earlier-Return Triggers
Return-precaution thresholds (watch for): - [LIFE_THREATENING] Limb-threatening DVT — pale or blue, cold, severely painful limb with severe iliofemoral DVT (ASH 2020) - [LIFE_THREATENING] Major bleeding on DOAC or warfarin (Hgb drop >2, transfusion, ICH, GI requiring hospitalization) per ISTH criteria 2005 - [SEVERE] DVT + PE features (dyspnea, hypoxemia, RV strain on echo, syncope) per ESC 2019
Citations
- ASH 2018/2020/2023 VTE Guidelines + ACCP/CHEST 2021/2024 Antithrombotic + NICE NG158 + ISTH 2022 cancer-VTE [PMID:33007077](https://pubmed.ncbi.nlm.nih.gov/33007077/) - Cited evidence (PMID 30482767) [PMID:30482767](https://pubmed.ncbi.nlm.nih.gov/30482767/) - Cited evidence (PMID 37195076) [PMID:37195076](https://pubmed.ncbi.nlm.nih.gov/37195076/) - Cited evidence (PMID 34352278) [PMID:34352278](https://pubmed.ncbi.nlm.nih.gov/34352278/) - Cited evidence (PMID 38458430) [PMID:38458430](https://pubmed.ncbi.nlm.nih.gov/38458430/) Last reconciled with current guidelines: 2026-05-14.
- ASH 2018/2020/2023 VTE Guidelines + ACCP/CHEST 2021/2024 Antithrombotic + NICE NG158 + ISTH 2022 cancer-VTE — PMID:33007077
- Cited evidence (PMID 30482767) — PMID:30482767
- Cited evidence (PMID 37195076) — PMID:37195076
- Cited evidence (PMID 34352278) — PMID:34352278
- Cited evidence (PMID 38458430) — PMID:38458430