In this large retrospective cohort of patients with unstable PE (e.g. in shock or ventilated), about 1/3 received thrombolytics; the all-cause case fatality rate was 47% in those that did not receive thrombolytics, 15% in those that received thrombolytics, and 8% in those that received thrombolytics + IVC filter. Consideration should be given to both thrombolytics and IVC filters in patients with unstable PE (abstract)
Dr. Scheurer is a clinical hospitalist and the Medical Director of Quality and Safety at the Medical University of South Carolina in Charleston, South Carolina, and is Assistant Professor of Medicine. She is a graduate of the University of Tennessee College of Medicine, completed her residency at Duke University, and completed her Masters in Clinical Research at the Medical University of South Carolina. She also serves as the Web Editor and Physician Advisor for the Society of Hospital Medicine.