Ischemic Heart Disease To in Medicine / Internal Medicine — 53yo Man | Cardiology | SMLE Q#11307

SMLE Question #11307

Medicine / Internal Medicine Cardiology

Objective: OBJ-163

Last updated: February 2026
A 53-year-old man with ischemic heart disease presents to the emergency department with 1 hour of sudden severe shortness of breath. He is tachypneic and in respiratory distress. Bedside evaluation raises strong suspicion for acute pulmonary embolism, and CT pulmonary angiography is being arranged. The team decides to start full-dose parenteral anticoagulation immediately. Which initial anticoagulation regimen is most appropriate?

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