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Low-risk pulmonary embolism — SCE Respiratory MCQ

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HardPulmonary Vascular DiseaseLow-risk pulmonary embolismSCE Respiratory

A 39-year-old man with confirmed segmental PE is normotensive, has SpO2 97% on air, normal troponin, no right ventricular strain and no active cancer or renal impairment. He has good home support. What is the most appropriate management?

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Correct answer: B — Treat as low-risk PE with outpatient anticoagulation pathway

Low-risk PE without RV strain, biomarker elevation or social barriers can be managed through an outpatient anticoagulation pathway. Thrombolysis and embolectomy are for high-risk or selected deteriorating patients. Segmental PE still requires anticoagulation unless a clear contraindication exists.

Reference: NICE NG158 Venous Thromboembolic Diseases; ESC PE Guideline