| Pulmonary embolism with minimal D-dimer increase - disagreement between clinic and laboratory: case report. | |
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MedLine Citation:
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PMID: 20487637 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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Pulmonary embolism is still currently considered a very insidious disease and if not diagnosed and treated rapidly is lethal in almost 10 percent of all cases. Clinical and patient history data are essential for the diagnosis and evaluation of the clinical risk of pulmonary embolism. Pulmonary embolism, particularly during minor episodes, was primarily identified by abnormalities in D-dimer concentration during laboratory testing. Indeed, an increase in D-dimer plasma levels was consequently identified as a valid diagnostic element for pulmonary embolism and therefore, in the absence of D-dimer abnormalities, a tendency to exclude such diagnosis exists. This case report describes the importance of carrying out level II diagnostic investigations which may be particularly valid in patients with a minimal rise in D-dimer levels and a clinical suspicion of a pulmonary embolism. This method allows for a quick diagnosis with early therapeutic measures which improve survival rates during the acute and critical phase. |
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Authors:
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C Ripa; G De Tommaso; R Lisa; M Lorenzi; M C Melatini; I Mazzanti; A Abbatecola; Roberto Antonicelli |
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Publication Detail:
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Type: Case Reports; Letter |
Journal Detail:
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Title: Journal of biological regulators and homeostatic agents Volume: 24 ISSN: 0393-974X ISO Abbreviation: J. Biol. Regul. Homeost. Agents Publication Date: 2010 Apr-Jun |
Date Detail:
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Created Date: 2010-05-21 Completed Date: 2010-08-20 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 8809253 Medline TA: J Biol Regul Homeost Agents Country: Italy |
Other Details:
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Languages: eng Pagination: 225-8 Citation Subset: IM |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Aged Anticoagulants / therapeutic use Blood Gas Analysis Female Fibrin Fibrinogen Degradation Products / metabolism* Fractures, Bone / complications Humans Pulmonary Artery / radiography Pulmonary Embolism / blood* Tomography, X-Ray Computed |
| Chemical | |
Reg. No./Substance:
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0/Anticoagulants; 0/Fibrin Fibrinogen Degradation Products; 0/fibrin fragment D |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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