SlideShare a Scribd company logo
1 of 5
FACTOR V Leiden mutation
SURAMYA BABU
 Factor V Leiden is a genetic mutation ( gene mutation in coagulation
factor V ) that makes blood more prone to abnormal clotting.
 Individuals born with FVL are more likely to develop vein clots (deep vein
thrombosis (DVT) and pulmonary embolism (PE)
Deep vein thrombosis(DVT) AND pulmonary
embolism (PE)
 DVT : DVT is the blood clots which occur in deep veins such as leg veins (
Eg : jugular vein)
 PE : it occurs when clots break off from vein walls and travel through the
pulmonary arteries and reach the lungs .
APC ( Activate protein C )
 Activated protein C (APC) functions as a circulating anticoagulant which normally
helps prevent blood from clotting excessively.
 It works by inactivating the phospholipid bond between factor V and VIII and thus
breaking down the blood clot.
APCR (Activate protein C resistance )
 Activate protein C resistance means; due to mutation in coagulation
factor V , APC fails to inactivate factor V, which results in hypercoagulable
state which may leads to DVT and PE

More Related Content

What's hot (20)

P53
P53P53
P53
 
Blood substitutes in therapy
Blood substitutes in therapyBlood substitutes in therapy
Blood substitutes in therapy
 
Red cell and platelet storage lesions and their effect in transfusion practise
Red cell and platelet storage lesions and their effect in transfusion practiseRed cell and platelet storage lesions and their effect in transfusion practise
Red cell and platelet storage lesions and their effect in transfusion practise
 
Leucodepletion
LeucodepletionLeucodepletion
Leucodepletion
 
Rhesus
RhesusRhesus
Rhesus
 
Angiogenesis
AngiogenesisAngiogenesis
Angiogenesis
 
Artificial blood
Artificial bloodArtificial blood
Artificial blood
 
Autologous Blood Transfusion
Autologous Blood TransfusionAutologous Blood Transfusion
Autologous Blood Transfusion
 
Cloning
CloningCloning
Cloning
 
Presentation on Fluorescence in-Situ Hybridization (FISH)
Presentation on Fluorescence in-Situ Hybridization (FISH)Presentation on Fluorescence in-Situ Hybridization (FISH)
Presentation on Fluorescence in-Situ Hybridization (FISH)
 
BLOOD PRESERVATIVES
BLOOD PRESERVATIVESBLOOD PRESERVATIVES
BLOOD PRESERVATIVES
 
Epigenetics
EpigeneticsEpigenetics
Epigenetics
 
In situ hybridization (ISH) analyses
In situ hybridization (ISH) analysesIn situ hybridization (ISH) analyses
In situ hybridization (ISH) analyses
 
DNAzymes
DNAzymesDNAzymes
DNAzymes
 
1.blood group
1.blood group1.blood group
1.blood group
 
GENOMIC IMPRINTING.pptx
GENOMIC IMPRINTING.pptxGENOMIC IMPRINTING.pptx
GENOMIC IMPRINTING.pptx
 
Biochemical changes in stored blood
Biochemical changes in stored bloodBiochemical changes in stored blood
Biochemical changes in stored blood
 
Cord Blood Stem Cells
Cord Blood Stem CellsCord Blood Stem Cells
Cord Blood Stem Cells
 
Nested pcr
Nested pcrNested pcr
Nested pcr
 
Blood component separation
Blood component separationBlood component separation
Blood component separation
 

Similar to Factor v leiden mutation

Coagulation disorders Pathology. Dr. Umme HAbiba
Coagulation disorders Pathology. Dr. Umme HAbibaCoagulation disorders Pathology. Dr. Umme HAbiba
Coagulation disorders Pathology. Dr. Umme HAbibaHabibah Chaudhary
 
Diagnosis and managment of pulmonary embolism
Diagnosis and managment of pulmonary embolismDiagnosis and managment of pulmonary embolism
Diagnosis and managment of pulmonary embolismDrYaqoobBahar
 
Tetrology of Fallot (TOF) - A Review
Tetrology of Fallot (TOF) - A ReviewTetrology of Fallot (TOF) - A Review
Tetrology of Fallot (TOF) - A ReviewVivek Rana
 
Factor v deficiency
Factor v deficiencyFactor v deficiency
Factor v deficiencyLeenDoya
 
Pulmonary embolism notes 2021
Pulmonary embolism notes 2021Pulmonary embolism notes 2021
Pulmonary embolism notes 2021Best Doctors
 
Congenital heart disease, by dr Shaymaa Fayad, El Nasr Hospital Port said
Congenital heart disease, by dr Shaymaa Fayad, El Nasr Hospital Port saidCongenital heart disease, by dr Shaymaa Fayad, El Nasr Hospital Port said
Congenital heart disease, by dr Shaymaa Fayad, El Nasr Hospital Port saidmohamed osama hussein
 
Von willebrands disease
Von willebrands diseaseVon willebrands disease
Von willebrands diseaseBabak Jebelli
 
Deep Venous Thrombosis​.pptx
Deep Venous Thrombosis​.pptxDeep Venous Thrombosis​.pptx
Deep Venous Thrombosis​.pptxssuser3a10ef
 
vascular thromboembolic diseases
vascular thromboembolic diseasesvascular thromboembolic diseases
vascular thromboembolic diseasesantony kamadi
 
Deep vein thrombosis
Deep vein thrombosisDeep vein thrombosis
Deep vein thrombosisMadhur Anand
 
Tetralogy of Fallot : Dr. Akif Baig
Tetralogy of Fallot : Dr. Akif BaigTetralogy of Fallot : Dr. Akif Baig
Tetralogy of Fallot : Dr. Akif Baigakifab93
 

Similar to Factor v leiden mutation (20)

Coagulation disorders Pathology. Dr. Umme HAbiba
Coagulation disorders Pathology. Dr. Umme HAbibaCoagulation disorders Pathology. Dr. Umme HAbiba
Coagulation disorders Pathology. Dr. Umme HAbiba
 
Dvt
Dvt Dvt
Dvt
 
Diagnosis and managment of pulmonary embolism
Diagnosis and managment of pulmonary embolismDiagnosis and managment of pulmonary embolism
Diagnosis and managment of pulmonary embolism
 
Von willebrands disease
Von willebrands disease Von willebrands disease
Von willebrands disease
 
Tetrology of Fallot (TOF) - A Review
Tetrology of Fallot (TOF) - A ReviewTetrology of Fallot (TOF) - A Review
Tetrology of Fallot (TOF) - A Review
 
Factor v deficiency
Factor v deficiencyFactor v deficiency
Factor v deficiency
 
deep vein thrombosis
deep vein thrombosisdeep vein thrombosis
deep vein thrombosis
 
Pulmonary embolism notes 2021
Pulmonary embolism notes 2021Pulmonary embolism notes 2021
Pulmonary embolism notes 2021
 
Congenital heart disease, by dr Shaymaa Fayad, El Nasr Hospital Port said
Congenital heart disease, by dr Shaymaa Fayad, El Nasr Hospital Port saidCongenital heart disease, by dr Shaymaa Fayad, El Nasr Hospital Port said
Congenital heart disease, by dr Shaymaa Fayad, El Nasr Hospital Port said
 
Von willebrands disease
Von willebrands diseaseVon willebrands disease
Von willebrands disease
 
Deep Venous Thrombosis​.pptx
Deep Venous Thrombosis​.pptxDeep Venous Thrombosis​.pptx
Deep Venous Thrombosis​.pptx
 
Chd
ChdChd
Chd
 
vascular thromboembolic diseases
vascular thromboembolic diseasesvascular thromboembolic diseases
vascular thromboembolic diseases
 
DVT by shipra omar
DVT by shipra omarDVT by shipra omar
DVT by shipra omar
 
chf 27.9.2023.pptx
chf 27.9.2023.pptxchf 27.9.2023.pptx
chf 27.9.2023.pptx
 
Approach to bleeding neonate final
Approach to bleeding neonate finalApproach to bleeding neonate final
Approach to bleeding neonate final
 
Blood coagulation
Blood coagulationBlood coagulation
Blood coagulation
 
Deep vein thrombosis
Deep vein thrombosisDeep vein thrombosis
Deep vein thrombosis
 
Tetralogy of Fallot : Dr. Akif Baig
Tetralogy of Fallot : Dr. Akif BaigTetralogy of Fallot : Dr. Akif Baig
Tetralogy of Fallot : Dr. Akif Baig
 
TOF.pptx
TOF.pptxTOF.pptx
TOF.pptx
 

Recently uploaded

Call Girls Service Surat Samaira ❤️🍑 8250192130 👄 Independent Escort Service ...
Call Girls Service Surat Samaira ❤️🍑 8250192130 👄 Independent Escort Service ...Call Girls Service Surat Samaira ❤️🍑 8250192130 👄 Independent Escort Service ...
Call Girls Service Surat Samaira ❤️🍑 8250192130 👄 Independent Escort Service ...CALL GIRLS
 
Call Girls Ludhiana Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Ludhiana Just Call 9907093804 Top Class Call Girl Service AvailableCall Girls Ludhiana Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Ludhiana Just Call 9907093804 Top Class Call Girl Service AvailableDipal Arora
 
Call Girls Bhubaneswar Just Call 9907093804 Top Class Call Girl Service Avail...
Call Girls Bhubaneswar Just Call 9907093804 Top Class Call Girl Service Avail...Call Girls Bhubaneswar Just Call 9907093804 Top Class Call Girl Service Avail...
Call Girls Bhubaneswar Just Call 9907093804 Top Class Call Girl Service Avail...Dipal Arora
 
Call Girls Dehradun Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Dehradun Just Call 9907093804 Top Class Call Girl Service AvailableCall Girls Dehradun Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Dehradun Just Call 9907093804 Top Class Call Girl Service AvailableDipal Arora
 
Call Girls Aurangabad Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Aurangabad Just Call 9907093804 Top Class Call Girl Service AvailableCall Girls Aurangabad Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Aurangabad Just Call 9907093804 Top Class Call Girl Service AvailableDipal Arora
 
VIP Russian Call Girls in Varanasi Samaira 8250192130 Independent Escort Serv...
VIP Russian Call Girls in Varanasi Samaira 8250192130 Independent Escort Serv...VIP Russian Call Girls in Varanasi Samaira 8250192130 Independent Escort Serv...
VIP Russian Call Girls in Varanasi Samaira 8250192130 Independent Escort Serv...Neha Kaur
 
All Time Service Available Call Girls Marine Drive 📳 9820252231 For 18+ VIP C...
All Time Service Available Call Girls Marine Drive 📳 9820252231 For 18+ VIP C...All Time Service Available Call Girls Marine Drive 📳 9820252231 For 18+ VIP C...
All Time Service Available Call Girls Marine Drive 📳 9820252231 For 18+ VIP C...Arohi Goyal
 
Call Girls Coimbatore Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Coimbatore Just Call 9907093804 Top Class Call Girl Service AvailableCall Girls Coimbatore Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Coimbatore Just Call 9907093804 Top Class Call Girl Service AvailableDipal Arora
 
VIP Call Girls Indore Kirti 💚😋 9256729539 🚀 Indore Escorts
VIP Call Girls Indore Kirti 💚😋  9256729539 🚀 Indore EscortsVIP Call Girls Indore Kirti 💚😋  9256729539 🚀 Indore Escorts
VIP Call Girls Indore Kirti 💚😋 9256729539 🚀 Indore Escortsaditipandeya
 
Low Rate Call Girls Kochi Anika 8250192130 Independent Escort Service Kochi
Low Rate Call Girls Kochi Anika 8250192130 Independent Escort Service KochiLow Rate Call Girls Kochi Anika 8250192130 Independent Escort Service Kochi
Low Rate Call Girls Kochi Anika 8250192130 Independent Escort Service KochiSuhani Kapoor
 
Call Girls Kochi Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Kochi Just Call 9907093804 Top Class Call Girl Service AvailableCall Girls Kochi Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Kochi Just Call 9907093804 Top Class Call Girl Service AvailableDipal Arora
 
VIP Service Call Girls Sindhi Colony 📳 7877925207 For 18+ VIP Call Girl At Th...
VIP Service Call Girls Sindhi Colony 📳 7877925207 For 18+ VIP Call Girl At Th...VIP Service Call Girls Sindhi Colony 📳 7877925207 For 18+ VIP Call Girl At Th...
VIP Service Call Girls Sindhi Colony 📳 7877925207 For 18+ VIP Call Girl At Th...jageshsingh5554
 
Bangalore Call Girls Nelamangala Number 7001035870 Meetin With Bangalore Esc...
Bangalore Call Girls Nelamangala Number 7001035870  Meetin With Bangalore Esc...Bangalore Call Girls Nelamangala Number 7001035870  Meetin With Bangalore Esc...
Bangalore Call Girls Nelamangala Number 7001035870 Meetin With Bangalore Esc...narwatsonia7
 
Night 7k to 12k Navi Mumbai Call Girl Photo 👉 BOOK NOW 9833363713 👈 ♀️ night ...
Night 7k to 12k Navi Mumbai Call Girl Photo 👉 BOOK NOW 9833363713 👈 ♀️ night ...Night 7k to 12k Navi Mumbai Call Girl Photo 👉 BOOK NOW 9833363713 👈 ♀️ night ...
Night 7k to 12k Navi Mumbai Call Girl Photo 👉 BOOK NOW 9833363713 👈 ♀️ night ...aartirawatdelhi
 
Book Paid Powai Call Girls Mumbai 𖠋 9930245274 𖠋Low Budget Full Independent H...
Book Paid Powai Call Girls Mumbai 𖠋 9930245274 𖠋Low Budget Full Independent H...Book Paid Powai Call Girls Mumbai 𖠋 9930245274 𖠋Low Budget Full Independent H...
Book Paid Powai Call Girls Mumbai 𖠋 9930245274 𖠋Low Budget Full Independent H...Call Girls in Nagpur High Profile
 
Russian Call Girls in Jaipur Riya WhatsApp ❤8445551418 VIP Call Girls Jaipur
Russian Call Girls in Jaipur Riya WhatsApp ❤8445551418 VIP Call Girls JaipurRussian Call Girls in Jaipur Riya WhatsApp ❤8445551418 VIP Call Girls Jaipur
Russian Call Girls in Jaipur Riya WhatsApp ❤8445551418 VIP Call Girls Jaipurparulsinha
 
Call Girls Jabalpur Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Jabalpur Just Call 9907093804 Top Class Call Girl Service AvailableCall Girls Jabalpur Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Jabalpur Just Call 9907093804 Top Class Call Girl Service AvailableDipal Arora
 
Russian Escorts Girls Nehru Place ZINATHI 🔝9711199012 ☪ 24/7 Call Girls Delhi
Russian Escorts Girls  Nehru Place ZINATHI 🔝9711199012 ☪ 24/7 Call Girls DelhiRussian Escorts Girls  Nehru Place ZINATHI 🔝9711199012 ☪ 24/7 Call Girls Delhi
Russian Escorts Girls Nehru Place ZINATHI 🔝9711199012 ☪ 24/7 Call Girls DelhiAlinaDevecerski
 
Call Girls Ooty Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Ooty Just Call 9907093804 Top Class Call Girl Service AvailableCall Girls Ooty Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Ooty Just Call 9907093804 Top Class Call Girl Service AvailableDipal Arora
 

Recently uploaded (20)

Call Girls Service Surat Samaira ❤️🍑 8250192130 👄 Independent Escort Service ...
Call Girls Service Surat Samaira ❤️🍑 8250192130 👄 Independent Escort Service ...Call Girls Service Surat Samaira ❤️🍑 8250192130 👄 Independent Escort Service ...
Call Girls Service Surat Samaira ❤️🍑 8250192130 👄 Independent Escort Service ...
 
Russian Call Girls in Delhi Tanvi ➡️ 9711199012 💋📞 Independent Escort Service...
Russian Call Girls in Delhi Tanvi ➡️ 9711199012 💋📞 Independent Escort Service...Russian Call Girls in Delhi Tanvi ➡️ 9711199012 💋📞 Independent Escort Service...
Russian Call Girls in Delhi Tanvi ➡️ 9711199012 💋📞 Independent Escort Service...
 
Call Girls Ludhiana Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Ludhiana Just Call 9907093804 Top Class Call Girl Service AvailableCall Girls Ludhiana Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Ludhiana Just Call 9907093804 Top Class Call Girl Service Available
 
Call Girls Bhubaneswar Just Call 9907093804 Top Class Call Girl Service Avail...
Call Girls Bhubaneswar Just Call 9907093804 Top Class Call Girl Service Avail...Call Girls Bhubaneswar Just Call 9907093804 Top Class Call Girl Service Avail...
Call Girls Bhubaneswar Just Call 9907093804 Top Class Call Girl Service Avail...
 
Call Girls Dehradun Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Dehradun Just Call 9907093804 Top Class Call Girl Service AvailableCall Girls Dehradun Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Dehradun Just Call 9907093804 Top Class Call Girl Service Available
 
Call Girls Aurangabad Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Aurangabad Just Call 9907093804 Top Class Call Girl Service AvailableCall Girls Aurangabad Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Aurangabad Just Call 9907093804 Top Class Call Girl Service Available
 
VIP Russian Call Girls in Varanasi Samaira 8250192130 Independent Escort Serv...
VIP Russian Call Girls in Varanasi Samaira 8250192130 Independent Escort Serv...VIP Russian Call Girls in Varanasi Samaira 8250192130 Independent Escort Serv...
VIP Russian Call Girls in Varanasi Samaira 8250192130 Independent Escort Serv...
 
All Time Service Available Call Girls Marine Drive 📳 9820252231 For 18+ VIP C...
All Time Service Available Call Girls Marine Drive 📳 9820252231 For 18+ VIP C...All Time Service Available Call Girls Marine Drive 📳 9820252231 For 18+ VIP C...
All Time Service Available Call Girls Marine Drive 📳 9820252231 For 18+ VIP C...
 
Call Girls Coimbatore Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Coimbatore Just Call 9907093804 Top Class Call Girl Service AvailableCall Girls Coimbatore Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Coimbatore Just Call 9907093804 Top Class Call Girl Service Available
 
VIP Call Girls Indore Kirti 💚😋 9256729539 🚀 Indore Escorts
VIP Call Girls Indore Kirti 💚😋  9256729539 🚀 Indore EscortsVIP Call Girls Indore Kirti 💚😋  9256729539 🚀 Indore Escorts
VIP Call Girls Indore Kirti 💚😋 9256729539 🚀 Indore Escorts
 
Low Rate Call Girls Kochi Anika 8250192130 Independent Escort Service Kochi
Low Rate Call Girls Kochi Anika 8250192130 Independent Escort Service KochiLow Rate Call Girls Kochi Anika 8250192130 Independent Escort Service Kochi
Low Rate Call Girls Kochi Anika 8250192130 Independent Escort Service Kochi
 
Call Girls Kochi Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Kochi Just Call 9907093804 Top Class Call Girl Service AvailableCall Girls Kochi Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Kochi Just Call 9907093804 Top Class Call Girl Service Available
 
VIP Service Call Girls Sindhi Colony 📳 7877925207 For 18+ VIP Call Girl At Th...
VIP Service Call Girls Sindhi Colony 📳 7877925207 For 18+ VIP Call Girl At Th...VIP Service Call Girls Sindhi Colony 📳 7877925207 For 18+ VIP Call Girl At Th...
VIP Service Call Girls Sindhi Colony 📳 7877925207 For 18+ VIP Call Girl At Th...
 
Bangalore Call Girls Nelamangala Number 7001035870 Meetin With Bangalore Esc...
Bangalore Call Girls Nelamangala Number 7001035870  Meetin With Bangalore Esc...Bangalore Call Girls Nelamangala Number 7001035870  Meetin With Bangalore Esc...
Bangalore Call Girls Nelamangala Number 7001035870 Meetin With Bangalore Esc...
 
Night 7k to 12k Navi Mumbai Call Girl Photo 👉 BOOK NOW 9833363713 👈 ♀️ night ...
Night 7k to 12k Navi Mumbai Call Girl Photo 👉 BOOK NOW 9833363713 👈 ♀️ night ...Night 7k to 12k Navi Mumbai Call Girl Photo 👉 BOOK NOW 9833363713 👈 ♀️ night ...
Night 7k to 12k Navi Mumbai Call Girl Photo 👉 BOOK NOW 9833363713 👈 ♀️ night ...
 
Book Paid Powai Call Girls Mumbai 𖠋 9930245274 𖠋Low Budget Full Independent H...
Book Paid Powai Call Girls Mumbai 𖠋 9930245274 𖠋Low Budget Full Independent H...Book Paid Powai Call Girls Mumbai 𖠋 9930245274 𖠋Low Budget Full Independent H...
Book Paid Powai Call Girls Mumbai 𖠋 9930245274 𖠋Low Budget Full Independent H...
 
Russian Call Girls in Jaipur Riya WhatsApp ❤8445551418 VIP Call Girls Jaipur
Russian Call Girls in Jaipur Riya WhatsApp ❤8445551418 VIP Call Girls JaipurRussian Call Girls in Jaipur Riya WhatsApp ❤8445551418 VIP Call Girls Jaipur
Russian Call Girls in Jaipur Riya WhatsApp ❤8445551418 VIP Call Girls Jaipur
 
Call Girls Jabalpur Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Jabalpur Just Call 9907093804 Top Class Call Girl Service AvailableCall Girls Jabalpur Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Jabalpur Just Call 9907093804 Top Class Call Girl Service Available
 
Russian Escorts Girls Nehru Place ZINATHI 🔝9711199012 ☪ 24/7 Call Girls Delhi
Russian Escorts Girls  Nehru Place ZINATHI 🔝9711199012 ☪ 24/7 Call Girls DelhiRussian Escorts Girls  Nehru Place ZINATHI 🔝9711199012 ☪ 24/7 Call Girls Delhi
Russian Escorts Girls Nehru Place ZINATHI 🔝9711199012 ☪ 24/7 Call Girls Delhi
 
Call Girls Ooty Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Ooty Just Call 9907093804 Top Class Call Girl Service AvailableCall Girls Ooty Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Ooty Just Call 9907093804 Top Class Call Girl Service Available
 

Factor v leiden mutation

  • 1. FACTOR V Leiden mutation SURAMYA BABU
  • 2.  Factor V Leiden is a genetic mutation ( gene mutation in coagulation factor V ) that makes blood more prone to abnormal clotting.  Individuals born with FVL are more likely to develop vein clots (deep vein thrombosis (DVT) and pulmonary embolism (PE)
  • 3. Deep vein thrombosis(DVT) AND pulmonary embolism (PE)  DVT : DVT is the blood clots which occur in deep veins such as leg veins ( Eg : jugular vein)  PE : it occurs when clots break off from vein walls and travel through the pulmonary arteries and reach the lungs .
  • 4. APC ( Activate protein C )  Activated protein C (APC) functions as a circulating anticoagulant which normally helps prevent blood from clotting excessively.  It works by inactivating the phospholipid bond between factor V and VIII and thus breaking down the blood clot.
  • 5. APCR (Activate protein C resistance )  Activate protein C resistance means; due to mutation in coagulation factor V , APC fails to inactivate factor V, which results in hypercoagulable state which may leads to DVT and PE