The current role and future prospects of D-dimer biomarker

被引:68
作者
Soomro, Armaghan Y. [1 ]
Guerchicoff, Alejandra [2 ]
Nichols, Dru J. [2 ]
Suleman, Javed [3 ]
Dangas, George D. [2 ,3 ]
机构
[1] Staten Isl Univ Hosp, 475 Seaview Ave, Staten Isl, NY 10305 USA
[2] Cardiac Res Fdn, NY111 East 59th St,12th Floor, New York, NY 10022 USA
[3] Mt Sinai Hosp, 1 Gustave L Levy Pl 504, New York, NY 10029 USA
关键词
Biomarkers; Acute coronary syndrome; Aortic disorders; FIBRIN D-DIMER; ELEVATION MYOCARDIAL-INFARCTION; SUSPECTED PULMONARY-EMBOLISM; PERIPHERAL ARTERIAL-DISEASE; ACUTE AORTIC DISSECTION; CORONARY-HEART-DISEASE; PLASMA D-DIMER; PACLITAXEL-ELUTING STENTS; VENOUS THROMBOEMBOLISM; PLASMINOGEN-ACTIVATOR;
D O I
10.1093/ehjcvp/pvv039
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
D-dimers have been discovered as by-products of fibrinolysis. In situations where the fundamental pathology is associated with increased thrombolytic activity, D-dimer assays could serve an integral role in the clinical workup, and have an already established role in the diagnosis of clinical disorders of venous thromboembolism, and disseminated intravascular coagulation. However, there is growing literature suggesting that this is not the only clinical scenario where D-dimers may be of significance. They may also become an important biomarker in coronary and carotid artery atherosclerosis and aortic diseases. Being a non-invasive and quick means of diagnosis, D-dimers are a cost-effective tool used for diagnosing diseases. With the future being steered in the direction of preventive cardiology, it is imperative for clinicians to understand how to effectively utilize biomarkers in order to diagnose disorders. In this context, we review D-dimer's origin, current clinical utility, and potential future applications.
引用
收藏
页码:175 / 184
页数:10
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