Question

A 61-year-old with intermediate-risk pulmonary embolism (no hypotension, RV strain on echo) is stable on oxygen. Which management is most appropriate now?

Accepted Answer

Start therapeutic anticoagulation and monitor closely without routine thrombolysis

Answer

Immediate systemic thrombolysis

Answer

Catheter-directed thrombolysis for all intermediate-risk cases

Answer

No anticoagulation unless hypotension develops

Answer

IVC filter plus low-dose anticoagulation

Practice question

A 61-year-old with intermediate-risk pulmonary embolism (no hypotension, RV strain on echo) is stable on oxygen. Which management is most appropriate now?