TdC em Bolus - D-Dímero

Um TdC em bolus que mais parece uma infusão estendida! Voltamos no nosso formato quinzenal para falar de D-Dímero. Um exame muito solicitado durante a pandemia e que volta e meia a gente tem que interpretar. As possíveis aplicações do D-Dímero são vastas, mas nesse episódio resolvemos focar em: trombose venosa profunda, tromboembolismo pulmonar, dissecção de aorta e COVID-19. Críticas ou sugestões? Entra em contato com a gente no @tadeclinicagem no Instagram, Twitter ou gmail. Não esquece do nosso canal no YouTube, tem video toda semana! 

REFERÊNCIAS

1) Kearon, Clive, et al. "Diagnosis of pulmonary embolism with d-dimer adjusted to clinical probability." New England Journal of Medicine 381.22 (2019): 2125-2134.

2) van der Hulle, Tom, et al. "Simplified diagnostic management of suspected pulmonary embolism (the YEARS study): a prospective, multicentre, cohort study." The Lancet 390.10091 (2017): 289-297.

3) Schutte, T., A. Thijs, and Y. M. Smulders. "Never ignore extremely elevated D-dimer levels: they are specific for serious illness." Neth J Med 74.10 (2016): 443-448.

4) Weitz, Jeffrey I., James C. Fredenburgh, and John W. Eikelboom. "A test in context: D-dimer." Journal of the American College of Cardiology 70.19 (2017): 2411-2420.

5) Thachil, Jecko, David A. Fitzmaurice, and Cheng Hock Toh. "Appropriate use of D-dimer in hospital patients." The American journal of medicine 123.1 (2010): 17-1

6) Lim, Wendy, et al. "American Society of Hematology 2018 guidelines for management of venous thromboembolism: diagnosis of venous thromboembolism." Blood advances 2.22 (2018): 3226-3256.

7) Konstantinides, Stavros V., et al. "2019 ESC Guidelines for the diagnosis and management of acute pulmonary embolism developed in collaboration with the European Respiratory Society (ERS) The Task Force for the diagnosis and management of acute pulmonary embolism of the European Society of Cardiology (ESC)." European heart journal 41.4 (2020): 543-603