A 45-year-old hemodynamically stable patient has CT-confirmed PE, sPESI = 0, negative Hestia criteria, normal RV on echo, and reliable follow-up. What...

Question

A 45-year-old hemodynamically stable patient has CT-confirmed PE, sPESI = 0, negative Hestia criteria, normal RV on echo, and reliable follow-up. What is the best disposition and therapy?

Accepted Answer

Outpatient initiation of a DOAC with close follow-up

Answer

Admit for IV heparin then bridge to warfarin

Answer

Admit for observation without anticoagulation

Answer

Discharge with aspirin only

Answer

Admit for catheter-directed thrombolysis

Pulmonary Embolism (Outpatient Management) — MRCEM SBA MCQ

A 45-year-old hemodynamically stable patient has CT-confirmed PE, sPESI = 0, negative Hestia criteria, normal RV on echo, and reliable follow-up. What is the best disposition and therapy?