Prevention of venous thromboembolism (VTE) can be achieved through mec
hanic or pharmacological means. For the latter, unfractionated low dos
e heparin, low molecular weight heparins and oral anticoagulants are s
uccessfully and widely employed. Results of controlled and uncontrolle
d studies favour the use of prophylactic heparin in different clinical
and surgical conditions such as myocardial infarction, stroke, orthop
edic or prolonged surgery and surgical interventions in patients older
than forty. Useful parameters to evaluate the results of VTE prophyla
xis are discussed as well as timing, duration, effectiveness, side eff
ects and costs of therapy. Although the benefits of VTE prohylaxis in
high risk patients are clear, it is not routinely employed in Argentin
a.