A 62-year-old with massive PE (SBP 78 mmHg) and no contraindications presents with syncope and hypoxemia. Best immediate therapy?...

Question

A 62-year-old with massive PE (SBP 78 mmHg) and no contraindications presents with syncope and hypoxemia. Best immediate therapy?

Accepted Answer

Systemic thrombolysis with alteplase 100 mg over 2 hours

Answer

Heparin alone

Answer

Catheter-directed thrombectomy first

Answer

IVC filter placement

Answer

Half-dose alteplase 50 mg over 2 hours routinely

us-abem MCQ (SBA): High-risk Pulmonary Embolism