Evidence map›Paper›PMID 33267665›Full record

ReviewArteriosclerosis, thrombosis, and vascular biology2021

Heparin-Induced Thrombocytopenia: A Focus on Thrombosis.

Gowthami M Arepally, Anand Padmanabhan

Open access · greenAbstract readReview
In one paragraph

Review in Arteriosclerosis, thrombosis, and vascular biology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 82 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
82citing papers in PubMed, 2 pooled it
–field-weighted citation impact, top 69% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

82 citing papers in PubMed, 2 syntheses or guidelines pooled it, 66 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Article
  4. Article
  5. Article
  6. Anti-Platelet Factor 4 Antibody Clonal Heterogeneity and MGUS Status in HIT.medRxiv : the preprint server for health sciences · 2026
    Article
  7. [Analysis of Clinical Characteristics and Diagnostic Indicators in Patients With Heparin-induced Thrombocytopenia After Cardiac Surgery].Sichuan da xue xue bao. Yi xue ban = Journal of Sichuan University. Medical science edition · 2026
    Article
  8. Observational
  9. Review
  10. Article
  11. Article
  12. Article
  13. Article
  14. Haemostasis and the Need for Antithrombotics: An Introduction.Handbook of experimental pharmacology · 2026
    Review
  15. Article
  16. Review
  17. Pathogenic PF4/Polyvinylsulfonate ELISA-negative Antibodies in HIT.medRxiv : the preprint server for health sciences · 2025
    Article
  18. Article
  19. Article
  20. Article

22 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

2 authors at 2 institutions in 1 country.

Gowthami M ArepallyDivision of Hematology, Duke University Medical Center, Durham, NC (G.M.A.).
Anand PadmanabhanDivisions of Hematopathology, Transfusion Medicine, and Experimental Pathology, Department of Laboratory Medicine and Pathology, Mayo Clinic, Rochester, MN (A.P.).
Duke Medical Center · USMayo Clinic · US

Funding

Complement and Thrombosis in HITR01HL151730 · NHLBI · DUKE UNIVERSITY · PI Gowthami M Arepally, Lubica Rauova · 2021 to 2026
$3.9M
Complement and CR2/CD21 in the Immune Pathogenesis of HITR01HL136512 · NHLBI · DUKE UNIVERSITY · PI AREPALLY, GOWTHAMI M · 2018 to 2021
$2.1M
New Approaches to Pathogenesis and Diagnosis of Heparin-Induced Thrombocytopenia (HIT)K08HL133479 · NHLBI · VERSITI WISCONSIN, INC. · PI PADMANABHAN, ANAND · 2017 to 2021
$836k
NHLBI NIH HHS K08 HL133479NHLBI NIH HHS R01 HL136512NHLBI NIH HHS R01 HL151730
6 · The paper itself

Abstract

Heparin-induced thrombocytopenia is an immune-mediated disorder caused by antibodies that recognize complexes of platelet factor 4 and heparin. Thrombosis is a central and unpredictable feature of this syndrome. Despite optimal management, disease morbidity and mortality from thrombosis remain high. The hypercoagulable state in heparin-induced thrombocytopenia is biologically distinct from other thrombophilic disorders in that clinical complications are directly attributable to circulating ultra-large immune complexes. In some individuals, ultra-large immune complexes elicit unchecked cellular procoagulant responses that culminate in thrombosis. To date, the clinical and biologic risk factors associated with thrombotic risk in heparin-induced thrombocytopenia remain elusive. This review will summarize our current understanding of thrombosis in heparin-induced thrombocytopenia with attention to its clinical features, cellular mechanisms, and its management.

Indexed as

Blood CoagulationAnimalsAntibodiesAnticoagulantsAntithrombinsFactor Xa InhibitorsHeparinHumansPlatelet Factor 4Risk FactorsThrombocytopeniaThrombosisAntibodiesAnticoagulantsAntithrombinsFactor Xa InhibitorsHeparinPF4 protein, humanPlatelet Factor 4antibodiesheparinplateletsthrombocytopeniathrombosis

Identifiers

PMID33267665
PMCPMC7769912
OpenAlexW3108255252

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.