THE DIAGNOSIS OF PULMONARY EMBOLISM IN PATIENTS WITH NORMAL D-DIMER LEVELS


Ozlem B. , Gokhan E., Baris G., Asim K., Ozcan Y., Kamil K.

ACTA MEDICA MEDITERRANEA, vol.32, no.1, pp.171-177, 2016 (Journal Indexed in SCI) identifier identifier

  • Publication Type: Article / Article
  • Volume: 32 Issue: 1
  • Publication Date: 2016
  • Doi Number: 10.19193/0393-6384_2016_1_27
  • Title of Journal : ACTA MEDICA MEDITERRANEA
  • Page Numbers: pp.171-177
  • Keywords: D-Diener, Pulmonary Embolism, Wells Score, Revised Geneva Score, Pulmonary Embolism Severity Index, DEEP-VEIN THROMBOSIS, VENOUS THROMBOEMBOLISM, CLINICAL-ASSESSMENT, EMERGENCY, PROBABILITY, MANAGEMENT, ACCURACY, RULES

Abstract

Introduction: The combination of clinical probability assessment and the D-dimer test has been recommended to avoid unnecessary diagnostic testing in pulmonary thromboembolism (PTE). However, in clinical practice, patients are occasionally diagnosed with PTE despite normal D-dieter levels. In the present study, we reviewed the characteristics of cases in an emergency department (ED) in which a diagnosis of PTE was made despite normal D-dimer test results.