INVESTIGATION REPORT

*477600*
477600/Manual : 477600 Order No. : OP21/537185
No
Patient Name : . NAFIS CHOWDHURY 930721 : 930721
Age/Gender : 28 Yrs/Male Sample Collected : 23/02/2021 02:19PM
Referred By : SELF Sample Received : 23/02/2021 03:23PM
Clinical History : Report Date : 23/02/2021 03:56PM
Bed No/Ward : OPD Report Status : Finalized
HAEMATOLOGY
Test Name Result Unit Reference Range Method
Sample: Whole Blood
D-Dimer 355.8 µg/L < 500
Interpretation

Elevated D-Dimer levels are observed in all diseases and conditions with increased coagulation activation, e.g.
thromboembolic disease, disseminated intravascular coagulopathy (DIC), acute aortic dissection, myocardial
infarction, malignant disease, obstetrical complications, third trimester of pregnancy, surgery or polytrauma.
The major diagnostic application of D-Dimer testing is in the exclusion of thromboembolic events, such as deep vein
thrombosis or pulmonary embolism. The use of D-Dimer testing in combination with a well-validated clinical pretest
probability score represents an efficient and safe screening tool for the exclusion of thromboembolic events. However,
symptoms being present since a certain period of time, e.g. longer than a week, may produce normal D-Dimer
values.
For the diagnosis of DIC a scoring system has been suggested, in which elevated D-Dimer levels represent the major
indicator of DIC.
Furthermore, increased D-Dimer levels have been shown to be associated with the risk for recurrent thromboembolic
events after discontinuation of oral anticoagulant therapy and a poor prognosis in cardiac diseases, such as ischemic
heart disease, chronic atrial fibrillation or heart failure.
For exclusion of venous thrombosis or pulmonary embolism the analyte D-Dimer should not be used as an aid in
patients with.
- Therapeutic dose anticoagulant therapy for >24 hours.
- Fibrinolytic therapy within previous 7 days.
- Trauma or surgery within previous 4 weeks
- Disseminated malignancies
- Aortic aneurysm
- Sepsis, severe infections, pneumonia, severe skin infections
- Liver cirrhosis
- Pregnancy, or only with specific reference ranges.
Patients with acute coronary syndrome mostly show normal levels of D-Dimer. In contrast, patients with aortic
dissection or aortic aneurysm mostly have highly elevated levels of D-Dimer. Therefore, the detection of D-Dimer in
patients with acute chest pain may help to differentiate between both clinical conditions.

**End of Report**

Mr. MD ROSTOM ALI MONDAL Dr. NAZIA ISLAM Dr. ABU JAFAR MOHAMMED SALEH
MBBS, MD (Lab. Medicine) MBBS, FCPS (Hematology)
CHIEF MEDICAL TECHNOLOGIST REGISTRAR ClINICAL PATHOLOGY Sr. CONSULTANT - HEMATOLOGY & STEM CELL TRANSPLANT
Prepared By: Mr. MOSFFIQUR RAHMAN Printed By: Printed at 24/02/2021 16:10 Page: 1 Of 1