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Best treatment for massive pulmonary embolism:

A
Intravenous tissue plasminogen activator
B
Heparin
C
Pulmonary thrombo-embolectomy
D
Low molecular weight heparin + warfarin
High-Yield Explanation
Ans. A. Intravenous tissue plasminogen activator* Massive pulmonary embolism is best managed by thrombolysis using tissue plasminogen activator.* In case thrombolysis is contraindicated then in these patient fogarty catheter removal of clot in pulmonary artery would be done.* In submassive pulmonary embolism heparin is used. Chronic pulmonary embolism leading to pulmonary- hypertension (known as chronic thromboembolic hypertension) is treated with a surgical Procedure known as a pulmonary thromboendarterectomy

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