medigraphic.com
Colegio de Medicos y Cirujanos República de Costa Rica

2008, Número 583

<< Anterior Siguiente >>

Rev Med Cos Cen 2008; 65 (583)


Impacto del Dimero-D en el diagnostico presuntivo del trombo embolismo pulmonar

Zárate EV

Idioma: Español
Referencias bibliográficas: 26
Paginas: 113-117
Archivo PDF: 157.78 Kb.


RESUMEN

El diagnóstico preciso y oportuno del T.E.P constituye todo un reto para el médico, el mismo debe de basarse en el cuadro clínico del paciente, la historia clínica, los factores de riesgo, la probabilidad clínica y en el apoyo de métodos diagnósticos de laboratorio y gabinete de fácil y rápida accesibilidad, bajo costo; pero de una sensibilidad y VPN (Valor predictivo negativo) altos, es por ello, que la determinación de los niveles de Dímero-D sanguíneos, representan una herramienta útil y rápida, así como poco invasiva para el paciente y permite además elaborar algoritmos diagnósticos mas precisos, así como discriminar que grupo de pacientes realmente necesitan otros métodos de diagnostico más complejos, invasivos y costosos, con lo cual contribuye a disminuir los costos institucionales.


REFERENCIAS (EN ESTE ARTÍCULO)

  1. Battes S. “A Diagnostic Strategy Involving a Quantitative Latex D-Dimmer Assay Reliably Excludes Deep Venous Thrombosis”. Annals of internal Medicine 2003; 138:787-794.

  2. Battes S. “A Latex D-Dimmer Reliably Excludes Venous Thromboembolism” Archives of Internal Medicine 2001; 161:447-453.

  3. Brotman D. “Limitations of D-dimer testing in Unselected inpatients with Suspected Venous Thromboembolism” American Journal of Medicine 2003; 114:276-281.

  4. Brown M. “The Accuracy of the Enzyme-Linked Immunosorbent Assay D-Dimer Test in the Diagnosis of Pulmonary Embolism: A Meta Analysis”. Annals of Emergency Medicine 2002; 40:133-143.

  5. Cornuz J. “Clinical Prediction of Deep Venous Thrombosis Using Two Risk Assessment Methods in Combination with Rapid Quantitative DDimerTesting”. American Journal of Medicine 2002; 112:198-2003.

  6. Chunilal S. “The Sensitivity and Specificity of a Red Blood Cell Agglutination D-Dimmers Assay for Venous ThromboemboIism When Performed on Venous Blood” Archives of Internal Medicine 2002; 162:217-220.

  7. Damek H. “How accurate is the D-Dimer assay in diagnosing pulmonary embolism?” The Journal of Family Practice2002; 51:919.

  8. Dunn K. “Negative ELISA D-Dimer assay can miss Pulmonary Embolism”. The Journal Family Practice 2003; 52:99-104.

  9. Dunn K. “Normal D-Dimer Levels in the Emergency Department Patients Suspected of Acute Pulmonary Embolism”. Journal American College of Cardiology2002; 40:1475-1478.

  10. Kearon C. “Management of Suspected Deep Venous Thrombosis in Outpatients by Using Clinical Assessment and D-Dimer Testing”. Annals of Intemal Medicine 2001; 135:108-111.

  11. Kelly J. “Plasma D-Dimers in the diagnosis of pulmonary embolism” Archives Internal of Medicine 2002; 162:747.

  12. KeIly J. “Role of D-Dimers in the diagno sis of venous Thromboembolism”. The Lancet 2002; 359:456-457. 12- Klin. A. “Diagnosis Accuracy of a Bedside D-Dimer Assay and alveolar Dead Space Measurement for Rapid Exclusion of Pulmonary Embolism”. JAMA 2001; 285:761-768.

  13. Kline J. “Criteria for the Safe Use of DDimer Testing in Emergency Department Patients with Suspected Pulmonary Embolism: A Multicenter US Study.” Annals of Emergency Medicine 2002; 39:144-152.

  14. Kruger S. “Diagnosis of Pulmonary Arterial hypertension and Pulmonary Embolism with Magnetic Resonance Angiography”. Chest 2001; 120:1556-1560.

  15. Kruip M. “Use of a Clinical Decision Rule Combination with D-Dimer Concentration In Diagnostic Workup of Patients with Suspected Pulmonary Embolism”. Archives of Internal Medicine 2002; 162:1631-1635.

  16. Nunes J. “D-Dimers in diagnosis of Pulmonary Embolism”. The Lancet 2002; 360:489.

  17. Perez E. “D-Dimer and Pulmonary Embo-Lism: Is There a Good Interpretation?”. Archives of Internal Medicine 2001; 160:2217- 2218.

  18. Perrier A. “Introduction of D-Dimer Assay: Does it Increase Resource Utilization or Correct Identification of Pulmonary Embolism?” Archives of Intemal Medicine 2001; 161: 2049.

  19. Philippe M. “The Introduction of DDimer Assay”. Archives of Internal Medicine 2001; 161:2049.

  20. Shitrit D. “Significance of a Plasma D-Dimer test in Patients with Pulmonary Hypertension”. Chest 2002; 122:1674-1678.

  21. Sijens P. “Should Patients Be Managed for Suspected Pulmonary Embolism on the Basis of Pretest Clinical Probability and D-Dimer Results?”. Annals of Internal Medicine2002; 136:781.

  22. Schutgens R. “Combination of a normal D-Dimer Concentration and a Non-High Pretest Clinical Probability Score is a Safe Strategy to Exclude Deep Venous Thrombosis”. Circulation 2003; 107:593-597.

  23. Schutgens R. “Usefulness of a Semiquantitative D-Dimer Test for the Exclusion of Deep Venous Thrombosis in Outpatients.” American Journal of Medicine2002; 112:617-621.

  24. Schuur J. “Bedside Diagnosis Test for Pulmonary Embolism”. JAMA 2001; 285:2326.

  25. Tick L. “Practical Diagnosis Management of Patients with Clinically Suspected Deep Venous Thrombosis by Clinical Probability Test, Compression Ultrasonography and D-Dimer Test.” American Journal of Medicine 2002; 113: 630-635.

  26. Wells P. Excluding Pulmonary Embolism at the Bedside without Diagnostic Imaging: “Management of Patients with Suspected Pulmonary Embolism Presenting to the Emergency Department by Using a Simple Clinical Model and D-Dimer” Annals of Internal Medicine 2001; 135:98-107.




2020     |     www.medigraphic.com