From: Reduced cardiac function and risk of venous thromboembolism in Asian countries
Management | Western countries | China | Japan |
---|---|---|---|
Volume loading | 250–500 ml | 500 ml | None |
Anticoagulation therapy | Recommended in PE patients with HF | Recommended in PE patients with HF | For normotensive PE patients without right heart dysfunction |
Thrombolytic therapy | Considered for PE patients with HF without contradictions | Recommended in PE patients with HF without contradictions | For PE patients with persistent shock and hypotension |
Anticoagulation drugs | NOACs combined parenteral anticoagulation | Unfractionated heparin only except in few medical centers | Unfractionated heparin only except in few medical centers |
Thrombolytic drugs | Tenecteplase | Monteplase | Alteplase, reteplase, urokinase |