A 48-year-old woman presents with acute dyspnea, tachycardia (HR 112/min), and tachypnea (RR 22/min). CT pulmonary angiography confirms pulmonary embolism. Vital signs: BP 128/82 mmHg, SpO2 98% on room air, temperature 37.2°C. Troponin and BNP are normal; echocardiography shows no right ventricular strain. She has a contraindication to anticoagulation due to hemorrhagic stroke 2 weeks prior. Which intervention is most appropriate for this hemodynamically stable patient?
- A)Administer half-dose systemic thrombolysis
- B)Initiate full-dose enoxaparin despite the contraindication
- C)Perform catheter-directed thrombolysis
- D)Place a retrievable inferior vena cava filterGABARITO
- E)Start low-dose aspirin
Explicação
When anticoagulation is contraindicated, a retrievable IVC filter is the appropriate intervention to prevent further pulmonary embolization. Once the contraindication resolves, anticoagulation should be initiated and the filter retrieved. A recent hemorrhagic ... Ver explicação completa e trilha adaptativa →