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Hestia Criteria for PE
Note: If any criterion is met, outpatient treatment is contraindicated.
Hemodynamic instability (SBP < 90 mmHg, shock)
Need for thrombolysis or embolectomy
Active bleeding or high risk of bleeding
Oxygen supply needed to maintain SpO₂ > 90% (>24h)
PE diagnosed while on therapeutic anticoagulation
Severe pain requiring intravenous pain medication (>24h)
Medical or social reasons for admission (e.g., compliance, support)
Severe renal (CrCl < 30 mL/min) or liver disease
Pregnancy