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Tag: Pulmonary Embolism

Update on Age-Adjusted D-Dimer

D-dimer has been shown to increase with age, which can cause a lower specificity (i.e. more false positive tests) in older patients. The result of this would be that older patients would often have more diagnostic imaging or downstream testing, …

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Hematology and Oncology

Rivaroxaban for Treatment of Symptomatic Pulmonary Embolism

Typically, the treatment of acute pulmonary embolism consists of administration of unfractionated heparin or low molecular weight heparin (i.e. enoxaparin) overlapped with vitamin K antagonists (i.e. warfarin).  This can be a very effective treatment regimen, but also very complex.  New direct …

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Thoracic and Respiratory

Age Adjusted D-Dimer Testing

D-dimer testing is sensitive for thrombus formation, and in patients who are not high risk, this test is used to rule-out venous thromboembolism. D-dimer has been shown to increase with age, which can cause a lower specificity (i.e. more false …

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Hematology and Oncology

Diagnosis of Right Ventricular Strain with Transthoracic Echocardiography

Abnormal vital signs are poor predictors of mortality associated with pulmonary embolism (PE).  Diagnosis of PE and right ventricular (RV) strain with transthoracic echocardiography (TTE) however, has been well documented as a predictor for pending shock and significant in-hospital mortality.  …

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CardiovascularResuscitationThoracic and Respiratory

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