Abstract: . . .  factor V Leiden assays was normal. A CT of thorax was also normal. On further questioning, the patient admitted to attending a gymnasium three times a week for many years. Part of his routine at the gymnasium included weightlifting, with obvious repetitive use of the arms. This information led to the diagnosis of effort-induced thrombosis of the subclavian vein, otherwise known as Paget- Schroetter syndrome. The patient was commenced on warfarin for a period of six months with a target international normalised ratio of between 2.0 and 3.0. When he last attended the outpatient clinic, the swelling in his left arm had completely . . .
. . .  2002; 347(23) : 1876-81. 5. Adelman M A, Stone D H, Riles T S, Lamparello P J, Giangola G, Rosen R J. A multidisciplinary approach to the treatment of Paget-Schroetter syndrome. Ann Vasc Surg 1997; 11(2) : 149-54. 6. Machleder H I. Evaluation of a new treatment strategy for Paget-Schroetter syndrome: spontaneous thrombosis of the axillary-subclavian vein. J Vasc Surg 1993; 17(2) : 305-17.  . . .
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