Contemporary Biomarkers in Pulmonary Embolism Diagnosis: Moving beyond D-Dimers
- PMID: 36294744
- PMCID: PMC9604705
- DOI: 10.3390/jpm12101604
Contemporary Biomarkers in Pulmonary Embolism Diagnosis: Moving beyond D-Dimers
Abstract
Pulmonary embolism (PE) is a rather common cardiovascular disorder constituting one of the major manifestations of venous thromboembolism (VTE). It is associated with high mortality and substantial recurrence rates, and its diagnosis may be challenging, especially in patients with respiratory comorbidities. Therefore, providing a prompt and accurate diagnosis for PE through developing highly sensitive and specific diagnostic algorithms would be of paramount importance. There is sound evidence supporting the use of biomarkers to enhance the diagnosis and predict the recurrence risk in patients with PE. Therefore, several novel biomarkers, such as factor VIII, Ischemia Modified Albumin, and fibrinogen, as well as several MicroRNAs and microparticles, have been investigated for the diagnosis of this clinical entity. The present review targets to comprehensively present the literature regarding the novel diagnostic biomarkers for PE, as well as to discuss the evidence for their use in daily routine.
Keywords: D-dimers; Factor VIII; biomarkers; diagnosis; ischemia modified albumin; microRNAs; microparticles; pulmonary embolism.
Conflict of interest statement
The authors declare no conflict of interest.
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References
-
- Konstantinides S.V., Meyer G., Becattini C., Bueno H., Geersing G.-J., Harjola V.-P., Huisman M.V., Humbert M., Jennings C.S., Jiménez D., 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) Eur. Respir. J. 2019;54:1901647. doi: 10.1183/13993003.01647-2019. - DOI - PubMed
-
- Kara H., Bayir A., Degirmenci S., Kayis S.A., Akinci M., Ak A., Celik B., Dogru A., Ozturk B. D-Dimer and D-Dimer/Fibrinogen Ratio in Predicting Pulmonary Embolism in Patients Evaluated in a Hospital Emergency Department. Acta Clin. Belg. 2014;69:240–245. doi: 10.1179/2295333714Y.0000000029. - DOI - PubMed
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