Document Detail


Fibrin d-dimer concentration, deep vein thrombosis symptom duration, and venous thrombus volume.
MedLine Citation:
PMID:  20834027     Owner:  NLM     Status:  In-Data-Review    
Abstract/OtherAbstract:
Introduction: To determine the relationship between fibrin D-dimer levels, symptom duration, and thrombus volume, consecutive patients with incident deep venous thrombosis (DVT) were evaluated. Methods: In a cross-sectional study design, patient symptom onset was determined by careful patient questioning. Venous thrombosis was confirmed by compression duplex ultrasonography. Thrombus volume was estimated based on patient's femur length using a forensic anthropology method. Fibrin D-dimer was measured by latex immunoassay. Results: 72 consecutive patients with confirmed leg DVT agreed to participate. The median symptom duration at the time of diagnosis was 10 days. The median D-dimer concentration was 1050 ng/dL. The median thrombus volume was 12.92 cm(3). D-Dimer levels correlated with estimated thrombus volume (P < .0006 CI 0.12-0.41; R(2) (adjusted) = .15) but not symptom duration, patient's age, or gender. Conclusions: Despite varying symptom duration prior to diagnosis, fibrin D-dimer remains a sensitive measure of venous thrombosis and correlates with thrombus volume.
Authors:
Andrew K Kurklinsky; Henna Kalsi; Waldemar E Wysokinski; Karen F Mauck; Anjali Bhagra; Rachel D Havyer; Carrie A Thompson; Sharonne N Hayes; Robert D McBane
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Publication Detail:
Type:  Journal Article     Date:  2010-09-11
Journal Detail:
Title:  Angiology     Volume:  62     ISSN:  1940-1574     ISO Abbreviation:  Angiology     Publication Date:  2011 Apr 
Date Detail:
Created Date:  2011-03-16     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0203706     Medline TA:  Angiology     Country:  United States    
Other Details:
Languages:  eng     Pagination:  253-6     Citation Subset:  IM    
Affiliation:
Division of Cardiovascular Medicine, Mayo Clinic, Rochester, MN, USA.
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