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D-dimer

Coagulation · also called Fibrin D-dimer, FDP D-dimer

What it measures

Detects a specific breakdown fragment of cross-linked fibrin, showing that clotting and clot breakdown are taking place. Mainly used to rule out deep vein thrombosis and pulmonary embolism in low-risk patients.

Specimen and preparation

Reference range

GroupRange
Adult (FEU)<0.50 mg/L FEU
Adult (DDU)<250 ng/mL DDU
Age-adjusted cut-off (>50 y)age × 0.01 mg/L FEU

Reference ranges differ between laboratories, methods and populations. Always use the range printed on your own lab report.

Causes of high values

Method

Latex immunoturbidimetric or ELISA/immunofluorescence assay

Good to know

High negative predictive value but low specificity: a normal result helps exclude VTE, a raised result does not confirm it. Check units (FEU vs DDU) before comparing.

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