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Intensive Care Medicine

Tutorial 243

Heparin Induced Thrombocytopenia (part 1)

Matthew Doane, Anaesthetic Specialist Registrar

Gosford Hospital, NSW Australia

Correspondence to m.d.locums@gmail.com

5TH DECEMBER 2011

Abstract

Diagnosis is based on clinical suspicion and laboratory tests (HIT positive antibodies alone do not confirm HIT)
Check your pretest probability (the 4 ‘T’s)
Stop all heparin
Commence alternate anticoagulation
Antibodies tend to disappear after 6 months