A member asked:

Why do some doctors order and consider fibrinogen as a risk factor for heart attack and stroke and not d- dimer? which of these 2 tests is a better risk factor in predicting future (5 months or more down the road)heart attacks, strokes, dvt and, pe?

A doctor has provided 1 answer

In creased fibrinogen levels can increase formation of blood clots, which can "predict" increased frequency of cardiac disease. A "D-dimer" test is an acute phase test to assist in "ruling out" present symptoms of pulmonary emboli, and hence is not a "predictor" of future events.

Answered 7/29/2022

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