Question

A 48-year-old man with low-risk pulmonary embolism (normal BP, normal RV on CT, sPESI = 0) and no hypoxia is otherwise healthy and reliable for follow-up. What is the best management strategy?

Accepted Answer

Discharge on apixaban with close follow-up

Answer

Admit for IV unfractionated heparin infusion for 5 days

Answer

Admit for thrombolysis with alteplase

Answer

Place an IVC filter and discharge

Answer

Warfarin with heparin bridge as outpatient

Practice question

A 48-year-old man with low-risk pulmonary embolism (normal BP, normal RV on CT, sPESI = 0) and no hypoxia is otherwise healthy and reliable for follow-up. What is the best management strategy?