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Mayo Test Catalog, (Sorted By Test Name) - Mayo Medical ...

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DCRN<br />

8847<br />

not without risk, and is associated with higher frequencies of gastrointestinal bleeding and hemorrhagic<br />

stroke. Identification of patients most likely to benefit from antiplatelet therapy with aspirin or other<br />

agents may be useful. Measurement of urinary 11-dTXB2 concentration may be used to assess an<br />

individual's platelet activity and associated risk for developing cardiovascular events, as well as identify<br />

individuals most likely to benefit from antiplatelet therapy. Urinary 11-dTXB2 offers an advantage over<br />

platelet-activation markers measured in plasma or blood because it is not subject to interference from in<br />

vitro platelet activation, which can easily occur as a result of local vein trauma or insufficient<br />

anticoagulation during blood sample collection.<br />

Useful For: Determining increased risk of coronary heart disease and stroke Identifying patients most<br />

likely to benefit from antiplatelet therapy<br />

Interpretation: Elevated baseline levels of 11-dehydro-thromboxane B2 (11-dTXB2) in patients may<br />

indicate an increase in platelet activation and thrombosis resulting from atherosclerotic deposits or other<br />

vascular obstructions. Patients that exhibit 11-dTXB2 values above the normal reference value may be at<br />

increased risk for an ischemic cardiovascular event. Elevations of 11-dTXB2 in patients already receiving<br />

anti-platelet therapy suggest a continued hypercoagulable state and alternative anti-thrombotic or<br />

anti-platelet therapies should be considered.<br />

Reference Values:<br />

Males > or =18 years: 0-1,089 pg/mg of creatinine<br />

Females > or =18 years: 0-1,811 pg/mg of creatinine<br />

Reference values have not been established for patients that are 90% of<br />

cases), with the third most common form of CAH (3-beta-steroid dehydrogenase deficiency,

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