Compound heterozygosity for the factor V HR2 haplotype and the factor V Leiden mutation is associated with an increased risk for venous thrombosis as compared with heterozygosity for factor V Leiden alone. Some studies suggest that the HR2 haplotype alone is an independent thrombotic risk factor. The HR2 haplotype alone is associated with a two-fold increase in risk of venous thromboembolism, although further study is underway on this topic. Double heterozygosity for factor V Leiden and the factor V HR2 haplotype has not been associated with a significantly higher risk of early or late pregnancy loss than a heterozygous factor V Leiden.

Indications for Testing:

  • Personal history of 2 or more blood-clotting incidents
  • Deep vein thrombosis
  • Pulmonary embolism
  • Superficial venous thrombosis, phlebitis or thrombophlebitis
  • Family history of blood clots or factor V HR2

Sample Requirements: 5 - 7 mL whole blood in purple top (EDTA) tube

Sample Handling: Blood samples stored overnight should be refrigerated or kept cold. Blood samples should never be frozen. Specimens being sent from outside facilities should be packaged with a cold pack according to standard medical safety practices. The specimen should be shipped by overnight priority [scheduled to arrive by Friday AM at the latest].

Shipping Address: Center for Human Genetics Laboratory
10524 Euclid Ave, 6th Floor
Cleveland, OH 44106
216-983-1134

For local samples, please call the Center for Human Genetics Laboratory (216-983-1134) to arrange for sample pick-up.

Turn Around Time: 5-14 days

Cost/CPT codes: $103.08 / 83892, 83894, 83898, 83912

Please submit a completed Cytogenetics and Molecular Genetics Requisition for each sample.