Question

A 57-year-old with acute PE and RV strain but normotensive asks about thrombolysis. Best approach?

Accepted Answer

Consider anticoagulation alone; reserve thrombolysis if hemodynamic decompensation

Answer

Systemic thrombolysis for all intermediate-risk PE

Answer

Catheter-directed therapy for all PEs

Answer

No anticoagulation if RV strain absent

Answer

Surgical embolectomy for all

Practice question

A 57-year-old with acute PE and RV strain but normotensive asks about thrombolysis. Best approach?