07 May 2026
: Case report 
Caught in Transit: Mobile Right Atrial Thrombus in Intermediate-High-Risk Pulmonary Embolism Treated With Half-Dose Alteplase
Unusual clinical course, Challenging differential diagnosis, Diagnostic / therapeutic accidents, Management of emergency care, Rare disease, Educational Purpose (only if useful for a systematic review or synthesis)
Wael Gomaa ABCDEF 1, Khaled Sewify ABCDEF 1*, Eslam Elsayed Abdelshafey ABCEF 1, Abdulaziz Alsaher D 1, Ragheb Elmessery CDEF 1, Fadah Alanazi CD 1, Adel Azmy D 2, Khalid Al Faraidy
D 2
DOI: 10.12659/AJCR.952646
Am J Case Rep 2026; 27:e952646
Table 1 Simplified pulmonary embolism severity index (sPESI), adapted from Jimenez et al [2].
| Variable | Points |
|---|---|
| Age >80 years | +1 |
| History of cancer | +1 |
| History of chronic cardiopulmonary disease | +1 |
| Heart rate ≥110 bpm | +1 |
| Systolic blood pressure <100 mmHg | +1 |
| Oxygen saturation <90% | +1 |
| Interpretation | 0=low risk; ≥1=high risk |