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HardCardiovascularSuspected pulmonary embolismuk-plab-1

A 55-year-old man presents with pleuritic chest pain and dyspnoea. He has a swollen painful left calf and has been immobile following a long-haul flight. His oxygen saturation is 90 percent on air and D-dimer is elevated. There are no contraindications to anticoagulation and CT pulmonary angiography will be delayed for 8 hours. What is the most appropriate next step?

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