A 65-year-old woman has new-onset chest pain and dyspnea. Normal ECG, troponins negative, D-dimer elevated; CTPA shows subsegmental PE with no DVT and...

Question

A 65-year-old woman has new-onset chest pain and dyspnea. Normal ECG, troponins negative, D-dimer elevated; CTPA shows subsegmental PE with no DVT and low bleeding risk. Management?

Accepted Answer

Anticoagulation given symptomatic PE and risk factors

Answer

No anticoagulation for all subsegmental PEs

Answer

Systemic thrombolysis

Answer

IVC filter placement

Answer

Aspirin only

us-abim MCQ (SBA): Pulmonary Embolism Management

A 65-year-old woman has new-onset chest pain and dyspnea. Normal ECG, troponins negative, D-dimer elevated; CTPA shows subsegmental PE with no DVT and low bleeding risk. Management?