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Downstate, where New York City has pioneered some of the toughest anti smoking laws in the nation, the percentages are much lower

endorsed by major cardiovascular societies to standardize submassive PE management Low-Risk / Subsegmental PE Anticoagulation with DOAC (apixaban, rivaroxaban preferred for most patients) for 36 months minimum For isolated SSPE without proximal DVT: clinical observation without anticoagulation may be appropriate in low-recurrence-risk patients per AHA guidance Early discharge protocols (outpatient management using PESI score or Hestia criteria) when hemodynamically stable Special Populations Pregnancy: LMWH throughout pregnancy

10.1007/s11940-008-0043-8 39