Question

A 68-year-old with suspected PE is stable, normal BP, mild hypoxia, and no right heart strain on CT. Best initial anticoagulation strategy?

Accepted Answer

Start a DOAC if no contraindication

Answer

Immediate systemic thrombolysis

Answer

Place an IVC filter and observe

Answer

Delay therapy until D-dimer returns

Answer

Begin warfarin without parenteral agent and target INR 1.5-2.0

Practice question

A 68-year-old with suspected PE is stable, normal BP, mild hypoxia, and no right heart strain on CT. Best initial anticoagulation strategy?