We describe the case of a 69-year-old woman who presented with submassive pulmonary embolism without overt shock, but with significant signs of right ventricular failure and dyspnea on minimal exertion. She was managed using a point-of-care ultrasound and pulmonary artery pressure-guided approach in order to minimize total thrombolytic dose while nonetheless achieving significant physiological improvement.
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Rola et al. (2024) studied this question.
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