A 58-year-old with CT-proven large bilateral pulmonary emboli is hypotensive (78/48 mm Hg) with right ventricular strain and no contraindications to t...

Question

A 58-year-old with CT-proven large bilateral pulmonary emboli is hypotensive (78/48 mm Hg) with right ventricular strain and no contraindications to thrombolysis. What reperfusion strategy is recommended?

Accepted Answer

Systemic alteplase 100 mg IV infusion for massive pulmonary embolism

Answer

Inferior vena cava filter placement

Answer

Therapeutic unfractionated heparin alone

Answer

Catheter-directed thrombolysis as first-line in all massive PE

Answer

Half-dose alteplase 50 mg to reduce bleeding risk

us-abem MCQ (SBA): Pulmonary Embolism

A 58-year-old with CT-proven large bilateral pulmonary emboli is hypotensive (78/48 mm Hg) with right ventricular strain and no contraindications to thrombolysis. What reperfusion strategy is recommended?