Persistent dyspnea after pulmonary embolism
Educational use only. Not clinically reviewed56-year-old woman for Post-pulmonary-embolism persistent-dyspnea reassessment. About 8 simulated minutes.
What you will practise
- Reconcile the confirmed acute PE, at least 3 months of verified therapeutic anticoagulation, prior function, and persistent symptom trajectory.
- Review resting stability, fixed exertional limitation, oxygenation change, and current recurrence and bleeding warning signs.
- Integrate fixed cardiac, perfusion, and exercise reports while preserving CTEPD uncertainty and alternative causes.
- Record pulmonary-vascular expert-pathway intent and continued anticoagulation ownership pending evaluation.
- After elapsed time, hand off symptoms, evidence, anticoagulation and bleeding review, open causes, triggers, and named owners.
Review and sources
Not clinically reviewed. No clinician has signed this scenario.
- Creager MA, Barnes GD, Giri J, et al. 2026 Guideline for the Evaluation and Management of Acute Pulmonary Embolism in Adults. Circulation. 2026;153:e977-e1051.
- Humbert M, Kovacs G, Hoeper MM, et al. 2022 ESC/ERS Guidelines for the diagnosis and treatment of pulmonary hypertension. Eur Heart J. 2022;43:3618-3731.
Open Sim Lab is an educational simulator, not for clinical use. It is not a clinical decision-support tool, not a dosing calculator, and is not validated for any decision affecting a real patient.