Question

A 35-year-year-old presents with sudden onset pleuritic chest pain and dyspnoea. A D-dimer is elevated. A CT pulmonary angiogram confirms a small pulmonary embolism. Which anticoagulant is recommended first-line for most patients?

Accepted Answer

DOAC (e.g., apixaban or rivaroxaban)

Answer

Unfractionated heparin IV

Answer

Warfarin (immediate)

Answer

LMWH then warfarin

Answer

LMWH alone

Practice question

A 35-year-year-old presents with sudden onset pleuritic chest pain and dyspnoea. A D-dimer is elevated. A CT pulmonary angiogram confirms a small pulmonary embolism. Which anticoagulant is recommended first-line for most patients?