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If a clot travels to the lungs, though, things could get more serious. Dr. Martina Trinkaus, a hematologist in Toronto, said that type of clot, called pulmonary embolism, usually comes with shortness of breath and a rapid heart rate. Untreated, about 25 percent of lung clots are fatal. For instance, she said, “for conditioned athletes who should have a low resting heart rate, a rate over 100 is alarming and should be investigated,” said Dr. Trinkaus.
Bosh told the New York Times that he was working on a plan with his doctors; that plan likely includes blood thinners like rivaroxaban. The problem with many blood thinners is that they aren’t easily reversible. A few hard bumps and Bosh could bleed uncontrollably. Another option is warfarin, but it can interact negatively with food and other medications. One of the biggest challenges of treating blood clots is post-thrombotic syndrome — it’s a painful and sometimes debilitating after-effect of blood clots. About 1 in 3 people who get clots get the syndrome.
“It has more to do with whether or not they are on anticoagulants. Personally, if the individual is in a contact sport, I would not recommend they continue to play while on blood thinners. The risk is too high, especially for a traumatic head bleed,” Ku says.
The American College of Chest Physicians updated its guidelines earlier this year, saying that if you have more than one clot, you need to be on long-term anticoagulation therapy. This could explain why elite athletes in contact sports retire after a second clot episode.
The American College of Chest Physicians updated its guidelines earlier this year, saying that if you have more than one clot, you need to be on long-term anticoagulation therapy. This could explain why elite athletes in contact sports retire after a second clot episode.
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