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Low-risk pulmonary embolism — SCE Respiratory MCQ

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ModeratePulmonary vascular diseaseLow-risk pulmonary embolismSCE Respiratory

A 37-year-old man is diagnosed with acute PE after a long-haul flight. He is normotensive, has SpO2 97% on air, normal troponin, no right ventricular strain and no significant comorbidity. He lives with family and has rapid access to a thrombosis clinic. Bleeding risk is low. What is the most appropriate management?

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Correct answer: E — Consider outpatient anticoagulation with structured follow-up

Selected low-risk PE patients may be managed as outpatients using validated risk assessment and clear follow-up. Thrombolysis is reserved for high-risk PE with haemodynamic compromise or selected deterioration. A provoked PE still needs anticoagulation; provocation mainly influences duration.

Reference: NICE NG158 Venous thromboembolic diseases