Establish a pretest probability based on clinical criteria.
Clinical signs and symptoms of DVT +3
Alternative diagnosis is less likely than PE +3.
Heart rate >100 +1.5
Low-risk PE – use anticoagulation or IVC filter.
Submassive PE – anticoagulation + possible INR guided thrombolysis
Massive PE – anticoagulation + de...
Provoked PE (trigger no longer present): 3 months
Unprovoked PE: >3 months; consider long-term or prolonged secondary prophylaxis if bleeding risk is low. HE...
I26.99 Other pulmonary embolism without acute cor pulmonale
I27.82 Chronic pulmonary embolism
415.19 Other pulmonary embolism and infarction
416.2 Chronic pulmonary embolism
Use Wells criteria; obtain D-dimer for low and intermediate risk; spiral CT angiography for high risk.
Sign up for a 10-day FREE Trial now and receive full access to all content.