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Figure 1.

Proposed Diagnostic Algorithm for Patients with Suspected High-Risk PE, i.e. Presenting with Shock or Hypotension.

a Includes the cases in which the patient’s condition is so critical that it only allows bedside diagnostic tests.

b Apart from the diagnosis of RV dysfunction, bedside transthoracic echocardiography may, in some cases, directly confirm PE by visualizing mobile thrombi in the right heart chambers.

c Thrombolysis; alternatively, surgical embolectomy or catheter-directed treatment.

CT, computed tomographic (pulmonary angiography); PE, pulmonary embolism; RV, right ventricle.

RMMJ Rambam Maimonides Medical Journal Rambam Health Care Campus 2014 October; 5(4): e0040. ISSN: 2076-9172
Published online 2014 October 29. doi: 10.5041/RMMJ.10174