This article on Epainassist.com has been reviewed by a aesculapian professional , as well as checked for facts , to promise the readers the best potential truth .
We adopt a strict editorial insurance and we have a zero - margin insurance regarding any point of piracy . Our articles are resourced from reputable on-line page . This clause may contains scientific references . The number in the parenthesis ( 1 , 2 , 3 ) are clickable links to peer - refresh scientific papers .
The feedback link “ Was this clause Helpful ” on this Sir Frederick Handley Page can be used to report subject matter that is not accurate , up - to - escort or questionable in any manner .
This article does not offer medical advice .
What is a D-Dimer Test?
A D - Dimer Test is a form of a blood examination which is done to identify any bloodline coagulum that may be form in the vascular arrangement of the torso of an individual.[1]A D - Dimer Test is exceedingly utile in name deep venous thrombosis or pulmonary embolus , both clot disorders , in an mortal . However , sealed other conditions in which lineage clots have a persona to playact can also be diagnose by doing a D - Dimer Test .
It should be observe that this D - Dimer Test may always not be conclusive and at times may lead to a misdiagnosis.[2]Thus it is imperative for Dr. to ensure that extreme caution is taken when analyse the result of this trial and the precise timing of convey a D - Dimer .
Coming to the anatomy , formation of blood coagulum is a natural process that is followed by the torso to forestall excessive menstruum of blood after an trauma or as a result of any legal injury to a blood vessel in the body . The intent of the coagulum is to fill up in the wetting and hold on blood flow . However , when a blood clot is shape , it is imperative that it does not grow in size to such an extent that it completely stymie the pedigree vessel .
This is done by another process that takes place during blood clotting . This process releases a protein called Plasmin which circumscribe the size of the coagulum by constantly degrading it . In a goodish individual , there is utter sync between the two processes ; however , if there is any underlying medical condition , there is an gain in the size of the clot at last resulting in conditions like pneumonic embolus or DVT.[3 ]
What is the Purpose of a D-Dimer Test?
The basal purpose of a D - Dimer test is to key whether any unusual rip clotting is occurring somewhere in the body . This information is extremely useful when diagnose a condition like DVT or PE where the levels of D - Dimer will be abnormal.[4 ]
What Does an Elevated D-Dimer Test Mean and What Causes it to Become Elevated?
A D - Dimer test is either negatively charged or positively charged . A negative test indicates that there is no front of any unusual clotting activity fall out anywhere in the physical structure . On the other hand a positive D - Dimer mental test signal the presence of an underlying medical precondition which is affecting the normal clotting outgrowth of the body .
A D - Dimer test is said to be positive when its levels are kick upstairs . This indicates towards exuberant blood clot organization and degradation occur at the same time somewhere in the torso even though this trial does not pinpoint the location of the abnormality . Venous thromboembolism and circularize intravascular curdling are the two primary condition that cause an lofty D - Dimer , peculiarly the latter in which the levels are abnormally high .
However , there are also certain other grounds that may result in an elevated D - Dimer . Individuals having had a recent surgical operation incline to have elevated level . Also individual having had a trauma , transmission , myocardial infarction , or some metastatic disease also tend to have elevated D - Dimer . Liver disease is yet another serious condition in which D - Dimer levels are elevate . Some of the medical weather condition that are associated with elevated D - Dimer are :
What are the Symptoms of Elevated D-Dimer?
Since the basal culprits behind elevated D - Dimer levels are Pulmonary Embolus , DVT or disseminated intravascular clotting thus elevation can be suspected in typeface of the patient complains of the following
These symptoms are alike to that of a DVT . In fount if PE is suspected then the patient may complain of
If the affected role has disseminated intravascular clotting then he may kvetch of
However , the good part about a D - Dimer trial run is that it is extremely utile in ruling out these above refer weather condition as a cause of symptom . This is because if the symptoms are not because of PE , DVT , or DIC then obviously the levels of D - Dimer will not be elevated .
What is the Treatment of Elevated D-Dimer?
The treatment for raised D - Dimer bet on the inherent causal agency . Once a reason is identify , treating it will automatically bring down the D - Dimer levels back to normal . For example if DVT is causing elevated D - Dimer then received treatment for it let in habit of blood thinners or coagulum busters which go bad the clot . Once the coagulum is get rid of then the D - Dimer levels come back to normal .
Similarly , if the elevated D - Dimer is caused due to gestation related issues then the storey should number back to normal after obstetrical delivery of the baby . Management of conditions like liver dysfunction , atrial fibrillation , Crab helps in bringing down idealistic D - Dimer.[7 ]
References :
