Admission D-dimer testing for differentiating acute aortic dissection from other causes of acute chest pain
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Admission D-dimer testing for differentiating acute aortic dissection from other causes of acute chest pain
INTRODUCTION The present study aims to evaluate the utility of D-dimer testing for differentiating the causes of acute chest pain, including acute aortic dissection (AAD), pulmonary embolism (PE), acute myocardial infarction (AMI), unstable angina (UA), and other uncertain diagnoses of chest pain. MATERIAL AND METHODS Consecutive patients admitted for acute chest pain within 24 h from symptom...
متن کاملValue of d-dimer testing in acute aortic dissection.
Aortic Dissection To the Editor: We read with great interest the recent review on etiology, diagnosis and management in aortic dissection.1 In their discussion on diagnostic strategies, the authors state that useful biomarkers for aortic dissection are currently absent. We recently reported on 24 patients with acute aortic dissection in whom D-dimer, a degradation product of cross-linked fibrin...
متن کامل[D-dimer in acute aortic dissection].
D-dimer measurement is widely accepted as a diagnostic test for pulmonary embolism in cases in which a negative value has a high predictive power. We present two cases of acute thoracic aortic dissection with particularly high D-dimer values and discuss the diagnostic value of D-dimer as an initial test with suspected aortic dissection.
متن کاملD-dimer is helpful for differentiating acute aortic dissection and acute pulmonary embolism from acute myocardial infarction.
INTRODUCTION Acute aortic dissection (AAD), acute pulmonary embolism (PE) and acute myocardial infarction (AMI) are all emergent diseases with acute chest pain. However, it is sometimes difficult to diagnose these diseases by symptoms, ECG changes and/or cardiac biomarkers, especially immediately after onset. Because these diseases are all thrombogenic diseases, we considered that D-dimer could...
متن کاملAcute Chest Pain — Suspected Aortic Dissection
MRA chest and abdomen without IV contrast 7 This procedure is an alternative to CTA for patients with contraindication to both iodinated and gadolinium contrast agents, such as in patients with renal failure, patients with multiple prior chest CTA for similar symptoms, and in patients showing no signs of hemodynamic instability. Scanner availability and local expertise limit widespread use, as ...
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ژورنال
عنوان ژورنال: Archives of Medical Science
سال: 2017
ISSN: 1734-1922
DOI: 10.5114/aoms.2017.67280