1 Day Of Sudden-onset in Medicine / Internal Medicine — 45yo Man | Cardiology | SMLE Q#17193
SMLE Question #17193
Medicine / Internal Medicine
Cardiology
Objective: OBJ-163
Last updated: February 2026
A 45-year-old man presents with 1 day of sudden-onset dyspnoea and pleuritic chest pain. He denies cough or fever and is haemodynamically stable. D-dimer is elevated, and ECG suggests acute right heart strain. Clinical suspicion for acute pulmonary embolism is moderate. What is the most helpful next investigation to confirm the diagnosis?
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