Question

A 61-year-old with two days of pleuritic chest pain and dyspnoea has CT-confirmed acute PE without hypotension, normal RV on echo, no cancer. Most appropriate initial anticoagulation?

Accepted Answer

Apixaban oral loading regimen

Answer

Unfractionated heparin infusion with aPTT titration

Answer

Warfarin with heparin bridge

Answer

No anticoagulation; IVC filter only

Answer

Thrombolysis with alteplase 100 mg

Practice question

A 61-year-old with two days of pleuritic chest pain and dyspnoea has CT-confirmed acute PE without hypotension, normal RV on echo, no cancer. Most appropriate initial anticoagulation?