D-dimer/troponin ratio in the differential diagnosis of acute pulmonary embolism from non-STelevation myocardial infarction
The Korean Journal of Internal Medicine
; : 1263-1271, 2019.
Article
em En
| WPRIM
| ID: wpr-919119
Biblioteca responsável:
WPRO
ABSTRACT
BACKGROUND/AIMS@#The aim of this study was to investigate useful cardiac biomarkers in the differential diagnosis of acute pulmonary embolism (APE) with troponin elevation from acute non-ST elevation myocardial infarction (NSTEMI).@*METHODS@#A total of 771 consecutive NSTEMI patients with D-dimer measurements and 90 patients with troponin-I (TnI) elevation out of 233 APE patients were enrolled, and cardiac biomarkers were compared.@*RESULTS@#D-dimer elevation was noted in 382 patients with NSTEMI (49.5%), and TnI elevation was noted 90 out of 233 APE patients (38.6%). Unnecessary coronary angiography was performed in 10 patients (11.1%) among 90 APE patients with TnI elevation. D-dimer was significantly elevated in APE than in NSTEMI (9.9 ± 11.6 mg/L vs. 1.8 ± 4.3 mg/L, p 1.82 before performing coronary angiography to avoid unnecessary invasive procedure.
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1
Base de dados:
WPRIM
Tipo de estudo:
Diagnostic_studies
Idioma:
En
Revista:
The Korean Journal of Internal Medicine
Ano de publicação:
2019
Tipo de documento:
Article