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Risk Stratification of Early Mortality in Expected Pulmonary Embolism

Early Mortality Related to PE Risk Markers Potential Treatment Indications
Clinical (Shock or Hypotension) Right Ventricular Dysfunction Myocardial Injury
High >15% + +a +a Thrombolysis or Embolectomy
Not High Intermediate 3-15% - + + Hospital Admission
+ -
- +
Low <1% - - - Early Discharge or Home Treatment

Description

Immediate bedside assessment can classify pulmonary embolism into high-risk and non-high-risk groups based on the presence or absence of risk factors. This stratification should also be applied to patients with suspected pulmonary embolism as it helps in selecting the optimal diagnostic and therapeutic strategies.

Note a. In the presence of shock or hypotension, it is not necessary to confirm right ventricular dysfunction/injury to classify into high-risk PE-related early mortality.

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