November 2018 PMID 30482768

American Society of Hematology 2018 guidelines for management of venous thromboembolism: heparin-induced thrombocytopenia.

Adam Cuker, Gowthami M Arepally, Beng H Chong, Douglas B Cines, Andreas Greinacher, Yves Gruel, Lori A Linkins, Stephen B Rodner, Sixten Selleng, Theodore E Warkentin, Ashleigh Wex, Reem A Mustafa, Rebecca L Morgan, Nancy Santesso

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Mentions

79
Peak: 27 in Jan 2021
across 5 sources since Jan 2019

Extended reach

286,144
potential audience

Total likes

113

Video views

4,095

Mentions per month

Jan 2019 – Apr 2025

Where it's discussed

  • X / Twitter57 posts
  • News10 articles
  • Facebook5 posts
  • YouTube4 videos
  • Blogs3 articles

AI synopsis

What people are saying

This collection of discussions demonstrates high interest and moderate agreement through comments about the practical use of the guidelines, such as the role of DOACs like rivarox and apixaban, and debates involving treatments like warfarin. The tone varies from supportive to analytical, with some referencing specific aspects like the 4Ts score and effects on patient management, reflecting their perceived importance and real-world impact.

AgreementModerate agreement

Most of the discussions express support or positive acknowledgment of the guidelines, highlighting their systematic review and practical implications.

InterestHigh interest

There is strong interest, with mentions of specific recommendations, debates on treatments like warfarin and DOACs, and references to clinical applications.

EngagementModerate engagement

Posts show moderate engagement, including sharing of links, summaries, and calls for further consideration, but few deep technical analyses.

ImpactModerate impact

The discussions suggest the guidelines influence clinical thought and practice among professionals, though direct changes or widespread adoption remain implied rather than explicitly documented.

Abstract in brief

  • The American Society of Hematology (ASH) developed evidence-based guidelines in 2018 for diagnosing and managing heparin-induced thrombocytopenia (HIT), a serious condition where the body's immune system reacts to heparin and causes dangerous blood clots.
  • The guidelines recommend using the 4Ts score to estimate the likelihood of HIT and avoid unnecessary testing, as well as suggest specific treatments like non-heparin anticoagulants for different situations, with some recommendations being stronger than others based on the evidence.
  • The panel included experts from various fields and followed a systematic process using the GRADE approach to ensure their recommendations are well-supported by evidence, aiming to improve patient care and safety.

Top posts

Most liked on X and Bluesky
Blood Advances
@BloodAdvances · X

American Society of Hematology 2018 guidelines for management of venous thromboembolism: diagnosis of venous thromboembolism https://t.co/u6ZygAZOWI #VTE https://t.co/rca4mbZLBn

Jan 26, 2021 · 12 likes · 6 shares · 32,380 followers View post →
Blood Advances
@BloodAdvances · X

American Society of Hematology 2018 guidelines for management of venous thromboembolism: optimal management of anticoagulation therapy https://t.co/wEjrh4rCQ7 @ArnavAgarwalMD @uofupharmacy https://t.co/WDhxv6Esqn

Jan 22, 2021 · 10 likes · 4 shares · 32,380 followers View post →
Geoff Barnes
@GBarnesMD · X

@heatherlgornik @SVM_tweets Consider role of DOAC. Often effective for HIT if no mechanical valve. Supported by @ASH_hematology guidelines authored by @CukerMd and colleagues https://t.co/0nf6z9R1tT

Mar 15, 2022 · 8 likes · 2 shares · 5,374 followers View post →
Danbutamina
@Danielfiks · X

American Society of Hematology 2018 guidelines for management of venous thromboembolism: heparin-induced thrombocytopenia | Blood Advances | American Society of Hematology https://t.co/60FRmDUl1e

Apr 5, 2021 · 8 likes · 122 followers View post →
Blood Advances
@BloodAdvances · X

American Society of Hematology 2018 guidelines for management of venous thromboembolism: venous thromboembolism in the context of pregnancy https://t.co/1Zg2UWoz7n #VTE #pregnancy @McMasterU https://t.co/mTnVNtuW9Z

Jan 21, 2021 · 7 likes · 1 share · 32,380 followers View post →
Blood Advances
@BloodAdvances · X

American Society of Hematology 2018 Guidelines for management of venous thromboembolism: treatment of pediatric venous thromboembolism https://t.co/oiVD7wRETt #VTE https://t.co/eOPJkH5oyr

Jan 26, 2021 · 7 likes · 3 shares · 32,380 followers View post →

All mentions

Amorimfilho
@aamorimfilho · X

@burnoutinho Recomendações de acordo com esse guideline: “American Society of Hematology 2018 guidelines for management of venous thromboembolism: prophylaxis for hospitalized and nonhospitalized medical patients Holger J. Schunemann,1,2 et al”

Apr 9, 2025 · 2 likes · 626 followers View post →
ecmec
@Ch2Emeka · X

American Society of Hematology 2018 guidelines for management of venous thromboembolism: diagnosis of venous thromboembolism https://t.co/zWnr92eHWm

Aug 6, 2024 · 51 followers View post →
springstar
@drspringstar · X

RT @pathqbank: Fantastic to see this question provoking debate which is the whole point! Firstly, warfarin is reasonable for HIT once the p…

Aug 30, 2022 · 1 share · 55 followers View post →
Path Question Bank
@pathqbank · X

Fantastic to see this question provoking debate which is the whole point! Firstly, warfarin is reasonable for HIT once the platelets have normalised but DOACs now recommended and widely used. Most evidence is for rivarox > apix https://t.co/L0oSJEeban

Aug 28, 2022 · 4 likes · 1 share · 1,099 followers View post →
Manu Morales Sánchez
@Manugrillo2 · X

RT @GBarnesMD: @heatherlgornik @SVM_tweets Consider role of DOAC. Often effective for HIT if no mechanical valve. Supported by @ASH_hematol…

Mar 16, 2022 · 2 shares · 2,142 followers View post →
Nicolas Gendron
@GendronNico · X

RT @GBarnesMD: @heatherlgornik @SVM_tweets Consider role of DOAC. Often effective for HIT if no mechanical valve. Supported by @ASH_hematol…

Mar 16, 2022 · 2 shares · 2,140 followers View post →
Geoff Barnes
@GBarnesMD · X

@heatherlgornik @SVM_tweets Consider role of DOAC. Often effective for HIT if no mechanical valve. Supported by @ASH_hematology guidelines authored by @CukerMd and colleagues https://t.co/0nf6z9R1tT

Mar 15, 2022 · 8 likes · 2 shares · 5,374 followers View post →
Rush IM Tweetorials
@RushTweetorials · X

12/12 For a quick recap here is the link to the American Society of Hematology guidelines https://t.co/vdP94ScXyc @RushIMChiefs @RushDOIM @RushHemOnc #medtwitter https://t.co/wU6XUcVKTu

Sep 7, 2021 · 101 followers View post →
Dawood Findakly, MD, FACP
@dawood_findakly · X

Heparin-induced thrombocytopenia: @ASH_hematology ☑HIT types ☑4Ts score? ☑Treatments to avoid in renal vs hepatic dysfunction? ☑Duration of AC? ☑Situations where heparin re-exposure? https://t.co/OTCyfvpcFB #HemeOnc_Topic_Review #HemeOnc_Clinical_Pearls

Aug 6, 2021 · 3 likes · 1,240 followers View post →
Alt Text Reader
@get_altText · X

@amarkelkar guidelines for management of venous thromboembolism: heparin-induced thrombocytopenia. Blood Adv. 2018 Nov 27;2(22):3360-3392. doi: 10.1182/bloodadvances.2018024489.

Apr 15, 2021 · 1 like · 7,292 followers View post →
名前
@akkiii0830 · X

American Society of Hematology 2018 guidelines for management of venous thromboembolism: heparin-induced thrombocytopenia https://t.co/moDQ8NxcN4 https://t.co/WcTumYzd5W

Apr 10, 2021 · 245 followers View post →
Danbutamina
@Danielfiks · X

American Society of Hematology 2018 guidelines for management of venous thromboembolism: heparin-induced thrombocytopenia | Blood Advances | American Society of Hematology https://t.co/60FRmDUl1e

Apr 5, 2021 · 8 likes · 122 followers View post →
Dawood Findakly, MD, FACP
@dawood_findakly · X

Heparin-Induced Thrombocytopenia 4Ts Score for #HIT https://t.co/OTCyfvGNx9 https://t.co/9VGVpTNFn8 #HemeOnc_Topic_Review #HemeOnc_Clinical_Pearls #MedEd #MedTwitter https://t.co/MmQu2TyaZW

Apr 4, 2021 · 1,240 followers View post →
eCOVID-19RecMap
@eCOVID19RecMap · X

RT @BloodAdvances: American Society of Hematology 2018 guidelines for management of venous thromboembolism: prophylaxis for hospitalized an…

Jan 27, 2021 · 7 shares · 615 followers View post →
Dr Celestino Gutiérrez González MD
@CelestinoGutirr · X

RT @BloodAdvances: American Society of Hematology 2018 guidelines for management of venous thromboembolism: diagnosis of venous thromboembo…

Jan 27, 2021 · 6 shares · 11,284 followers View post →
Holger Schünemann
@schunemann_mac · X

RT @BloodAdvances: American Society of Hematology 2018 guidelines for management of venous thromboembolism: prophylaxis for hospitalized an…

Jan 27, 2021 · 7 shares · 3,584 followers View post →
James Uprichard
@doctoruprichard · X

RT @BloodAdvances: American Society of Hematology 2018 guidelines for management of venous thromboembolism: diagnosis of venous thromboembo…

Jan 27, 2021 · 6 shares · 467 followers View post →
Lisa Hicks
@LisaHicksMD · X

RT @BloodAdvances: American Society of Hematology 2018 Guidelines for management of venous thromboembolism: treatment of pediatric venous t…

Jan 26, 2021 · 3 shares · 704 followers View post →
HEI
@HEI_mcmaster · X

RT @BloodAdvances: American Society of Hematology 2018 Guidelines for management of venous thromboembolism: treatment of pediatric venous t…

Jan 26, 2021 · 3 shares · 3,670 followers View post →
Blood Advances
@BloodAdvances · X

American Society of Hematology 2018 Guidelines for management of venous thromboembolism: treatment of pediatric venous thromboembolism https://t.co/oiVD7wRETt #VTE https://t.co/eOPJkH5oyr

Jan 26, 2021 · 7 likes · 3 shares · 32,380 followers View post →
HEI
@HEI_mcmaster · X

RT @BloodAdvances: American Society of Hematology 2018 guidelines for management of venous thromboembolism: diagnosis of venous thromboembo…

Jan 26, 2021 · 6 shares · 3,670 followers View post →
Wojtek Wiercioch
@wojtekwiercioch · X

RT @BloodAdvances: American Society of Hematology 2018 guidelines for management of venous thromboembolism: diagnosis of venous thromboembo…

Jan 26, 2021 · 6 shares · 460 followers View post →
Blood Advances
@BloodAdvances · X

American Society of Hematology 2018 guidelines for management of venous thromboembolism: diagnosis of venous thromboembolism https://t.co/u6ZygAZOWI #VTE https://t.co/rca4mbZLBn

Jan 26, 2021 · 12 likes · 6 shares · 32,380 followers View post →
Cisco2022
@PedroMe35963375 · X

RT @BloodAdvances: American Society of Hematology 2018 Guidelines for management of venous thromboembolism: treatment of pediatric venous t…

Jan 26, 2021 · 2 shares · 84 followers View post →
Blood Advances
@BloodAdvances · X

American Society of Hematology 2018 Guidelines for management of venous thromboembolism: treatment of pediatric venous thromboembolism https://t.co/ZIKkbhqv8b #VTE https://t.co/tchTIkgcwi

Jan 26, 2021 · 3 likes · 2 shares · 32,380 followers View post →
Milton L Cofield
@lohkuhtis · X

RT @BloodAdvances: American Society of Hematology 2018 guidelines for management of venous thromboembolism: prophylaxis for hospitalized an…

Jan 26, 2021 · 7 shares · 54 followers View post →
Jill Cofield
@Jill_Cofield · X

RT @BloodAdvances: American Society of Hematology 2018 guidelines for management of venous thromboembolism: prophylaxis for hospitalized an…

Jan 25, 2021 · 7 shares · 424 followers View post →
Wojtek Wiercioch
@wojtekwiercioch · X

RT @BloodAdvances: American Society of Hematology 2018 guidelines for management of venous thromboembolism: prophylaxis for hospitalized an…

Jan 25, 2021 · 7 shares · 460 followers View post →
Cochrane Canada
@CochraneCanada · X

RT @BloodAdvances: American Society of Hematology 2018 guidelines for management of venous thromboembolism: prophylaxis for hospitalized an…

Jan 25, 2021 · 7 shares · 6,071 followers View post →
HEI
@HEI_mcmaster · X

RT @BloodAdvances: American Society of Hematology 2018 guidelines for management of venous thromboembolism: prophylaxis for hospitalized an…

Jan 25, 2021 · 7 shares · 3,670 followers View post →
Matthew Rondina
@RondinaLab · X

RT @BloodAdvances: American Society of Hematology 2018 guidelines for management of venous thromboembolism: optimal management of anticoagu…

Jan 24, 2021 · 4 shares · 465 followers View post →
Hematology Media Center (HMC)
@US_HMC · X

RT @BloodAdvances: American Society of Hematology 2018 guidelines for management of venous thromboembolism: optimal management of anticoagu…

Jan 24, 2021 · 4 shares · 268 followers View post →
HEI
@HEI_mcmaster · X

RT @BloodAdvances: American Society of Hematology 2018 guidelines for management of venous thromboembolism: optimal management of anticoagu…

Jan 22, 2021 · 4 shares · 3,670 followers View post →
Blood Advances
@BloodAdvances · X

American Society of Hematology 2018 guidelines for management of venous thromboembolism: optimal management of anticoagulation therapy https://t.co/wEjrh4rCQ7 @ArnavAgarwalMD @uofupharmacy https://t.co/WDhxv6Esqn

Jan 22, 2021 · 10 likes · 4 shares · 32,380 followers View post →
Grupo CLAHT
@grupoclaht · X

RT @BloodAdvances: American Society of Hematology 2018 guidelines for management of venous thromboembolism: venous thromboembolism in the c…

Jan 21, 2021 · 1 share · 858 followers View post →
Blood Advances
@BloodAdvances · X

American Society of Hematology 2018 guidelines for management of venous thromboembolism: venous thromboembolism in the context of pregnancy https://t.co/1Zg2UWoz7n #VTE #pregnancy @McMasterU https://t.co/mTnVNtuW9Z

Jan 21, 2021 · 7 likes · 1 share · 32,380 followers View post →
Inés MP
@ins_ponce · X

RT @BloodAdvances: American Society of Hematology 2018 guidelines for management of venous thromboembolism: heparin-induced thrombocytopeni…

Jan 15, 2021 · 3 shares · 1,643 followers View post →
Nicolas Stocker
@NStockerSAT · X

RT @BloodAdvances: American Society of Hematology 2018 guidelines for management of venous thromboembolism: heparin-induced thrombocytopeni…

Jan 15, 2021 · 3 shares · 248 followers View post →
Miguel
@EinhellBlake · X

RT @BloodAdvances: American Society of Hematology 2018 guidelines for management of venous thromboembolism: heparin-induced thrombocytopeni…

Jan 15, 2021 · 3 shares · 52 followers View post →
Blood Advances
@BloodAdvances · X

American Society of Hematology 2018 guidelines for management of venous thromboembolism: heparin-induced thrombocytopenia https://t.co/dFXwEUUvsX @CukerMd https://t.co/u7Lp1YWjkS

Jan 15, 2021 · 5 likes · 3 shares · 32,380 followers View post →
عبدالعزيز
@AzIz_______aZiZ · X

RT @alnuaimi_hemonc: وهذا خاص بالأطفال. American Society of Hematology 2018 Guidelines for management of venous thromboembolism: treatment…

Oct 2, 2020 · 1 share · 1,167 followers View post →
د. محمد النعيمي Al Nuaimi MD, FRCPC
@alnuaimi_hemonc · X

وهذا خاص بالأطفال. American Society of Hematology 2018 Guidelines for management of venous thromboembolism: treatment of pediatric venous thromboembolism | Blood Advances | American Society of Hematology https://t.co/qYQR2iZWns

Oct 2, 2020 · 3 likes · 1 share · 4,920 followers View post →
Nina Martínez
@marganina · X

Folks finding utility in the COVID-19 g/l's IDSA is putting out have got to respect the group from McMaster for systematically reviewing the evidence according to GRADE methodology. It's quite the undertaking. I'd know bc I worked with them previously -> https://t.co/xGNkSRFYYx

May 7, 2020 · 3,084 followers View post →
Cardio-Targets
@CardioTargets · X

American Society of Hematology 2018 guidelines for management of venous thromboembolism: heparin-induced thrombocytopenia. https://t.co/ovLBzRsTfO

Sep 24, 2019 · 153 followers View post →
Atheer K.Medkhali
@atheermad · X

RT @AnesthRea: American Society of Hematology 2018 guidelines for management of venous thromboembolism: heparin-induced thrombocytopenia #B…

Aug 19, 2019 · 1 share · 249 followers View post →
SFMV
@lasfmv · X

RT @Echoraljpangio: American Society of Hematology 2018 guidelines for management of venous thromboembolism: venous thromboembolism in the…

Jul 30, 2019 · 1 share · 1,216 followers View post →
Dr Jean Pierre Laroche #vacciné 6.0
@Echoraljpangio · X

American Society of Hematology 2018 guidelines for management of venous thromboembolism: venous thromboembolism in the context of pregnancy https://t.co/hPj5eMwMdI

Jul 25, 2019 · 2 likes · 1 share · 2,714 followers View post →
Carol Artigas Gomez
@cartigasg · X

RT @AmedicInterna: #AmericanSocietyofHematology 2018 #guidelinesformanagementofvenousthromboembolism: optimal management of anticoagulation…

May 23, 2019 · 2 shares · 629 followers View post →
Raed Dweik, MD, MBA
@RaedDweikMD · X

New @ASH_hematology panel provides 33 recommendations for heparin induces thrombocytopenia #HIT addressing screening of asymptomatic patients, diagnosis and initial management, treatment, and special situations. @BloodAdvances doi:https://t.co/4vSk1koF0H https://t.co/FbyDUfwcrT

May 14, 2019 · 1 like · 3,238 followers View post →
maha sallam
@drmahasallam200 · X

RT @BloodAdvances: American Society of Hematology 2018 guidelines for management of venous thromboembolism: heparin-induced thrombocytopeni…

May 14, 2019 · 4 shares · 100 followers View post →
Victor Vera
@victorvf87 · X

RT @AmedicInterna: #AmericanSocietyofHematology 2018 #guidelinesformanagementofvenousthromboembolism: optimal management of anticoagulation…

Apr 30, 2019 · 2 shares · 197 followers View post →
Amedic Medicina Interna
@AmedicInterna · X

#AmericanSocietyofHematology 2018 #guidelinesformanagementofvenousthromboembolism: optimal management of anticoagulation therapy https://t.co/CgC3rtOMmF

Apr 30, 2019 · 2 shares · 171 followers View post →
Robson Miranda | Ecovascular
@ecovascular · X

American Society of Hematology 2018 guidelines for management of venous thromboembolism: diagnosis. https://t.co/wYoKkIaGRL #ReadByQxMD

Apr 12, 2019 · 943 followers View post →
Luis Santamaría
@santamaria1965 · X

RT @santamariaparo: American Society of Hematology 2018 guidelines for management of venous thromboembolism: prophylaxis for hospitalized a…

Apr 8, 2019 · 2 shares · 1,095 followers View post →
Irene Vázquez
@hilumaa · X

RT @santamariaparo: American Society of Hematology 2018 guidelines for management of venous thromboembolism: prophylaxis for hospitalized a…

Apr 5, 2019 · 2 shares · 86 followers View post →
Amparo Santamaria Ortiz MD, PhD
@santamariaparo · X

American Society of Hematology 2018 guidelines for management of venous thromboembolism: prophylaxis for hospitalized and nonhospitalized medical patients | Blood Advances https://t.co/Ff6FkMyBvI

Apr 5, 2019 · 4 likes · 2 shares · 1,267 followers View post →
Anesth & Réanimation
@AnesthRea · X

American Society of Hematology 2018 guidelines for management of venous thromboembolism: heparin-induced thrombocytopenia #Blood #Critical Care https://t.co/J2aAgTtaiY

Jan 21, 2019 · 3 likes · 1 share · 2,089 followers View post →