Pulmonary Embolism — Practice
A 25-year-old woman with no comorbidities presents with sudden severe pleuritic chest pain and breathlessness after a long flight. Her blood pressure is 118/76 mmHg, heart rate 110/min, and oxygen saturation 94%. CT pulmonary angiography confirms a segmental pulmonary embolism with a normal right ventricle. What is the most appropriate initial management?
ASurgical embolectomy
BSystemic thrombolysis with alteplase
CInferior vena cava filter placement
DTherapeutic low-molecular-weight heparin