Test result | Cause |
---|---|
PT prolonged, aPTT normal | Factor VII deficiency |
 | Mild vitamin K deficiency |
 | Mild liver insufficiency |
 | Low doses of vitamin K antagonists |
PT normal, aPTT prolonged | Factor VIII, IX, or XI deficiency |
 | Use of unfractionated heparin |
 | Inhibiting antibody and/or anti-phospholipid antibody |
 | Factor XII or prekallikrein deficiency (no relevance for in vivo coagulation) |
Both PT and aPTT prolonged | Factor X, V, II or fibrinogen deficiency |
 | Severe vitamin K deficiency |
 | Use of vitamin K antagonists |
 | Global clotting factor deficiency |
 |    Synthesis: liver failure |
 |    Loss: massive bleeding |
 |    Consumption: DIC |