DEEP VENOUS THROMBOSIS IN LOWER LIMBS, USING CRITERIA WELLS ET AL. (2003), D-DIMER, DUPLEX AND EVALUATION OF C-REACTIVE PROTEIN

Neivaldo Jose Nazare dos Santos MD*, Hamilton Almeida Rollo MD, Max Lucas Martins Rodrigues, Academic, Sergio Antonio Saldanha Rodrigues Filho MD, Frank Silveira de Sousa MD, Pericles Isaias Santos MD

ABSTRACT

Deep vein thrombosis (DVT) is common and important cause of morbidity- mortality, presenting Potentially fatal complications such as pulmonary thromboembolism. Diagnosis is one of the most problematic aspects. The disease signs and Symptoms are non-specific, complementary exams must be Performed to confirm diagnosis and start of anticoagulant treatment. To evaluate the efficacy of the Wells et al. Protocol (2003) and D Dimer test (DD) the diagnostic methods for DVT Compared to Duplex Mapping (DM) and analyze changes in C-reactive protein (CRP) Compared to DD. We selected 203 Patients with signs and Symptoms suggesting DVT. After being Submitted to anamnesis and general physical examination to fill out the Wells et al. evaluation protocol card and collection of material is DD and CRP measurements, pacientes Were submit test to DM to confirm or exclude DVT. There Were the significant differences between gender and age in the groups. The Wells protocol is a good predictive exam. DD presented high efficacy of the diagnosis method, useful for excluding DVT and CRP levels did not present any relationship with DD levels.

Keywords: Venous thrombosis; Lower extremity; Diagnosis; Ultrasound; Doppler; Duplex Mapping.