Question

A 63-year-old with submassive PE (RV dilation on CT, troponin mildly elevated) is normotensive (SBP 122). What is the recommended initial management?

Accepted Answer

Begin anticoagulation with a DOAC or parenteral heparin

Answer

Immediate systemic thrombolysis

Answer

Catheter-directed thrombolysis for all submassive PE

Answer

No anticoagulation unless hemodynamic collapse occurs

Answer

IVC filter placement without anticoagulation

Practice question

A 63-year-old with submassive PE (RV dilation on CT, troponin mildly elevated) is normotensive (SBP 122). What is the recommended initial management?