20th February 2024

A 75-year-old woman was admitted to A&E with a history of acute onset shortness of breath and chest pain

A 75-year-old woman was admitted to A&E with a history of acute onset shortness of breath and chest pain. She described the pain to be sharp and rated it a 9/10 intensity. She has a background history of ischaemic heart disease, hypertension, type 2 diabetes and past history of multiple embolic strokes. She is currently on Ramipril, Atorvastatin and Metformin. Her drug allergies include Penicillin for which she had a severe reaction. Her bloods showed an elevated D-dimer level (600). A CT scan revealed a wedge-shaped pleural opacity and the CTPA revealed a filling defect in the pulmonary vasculature. Her eGFR is 88.

Prescribe one drug that should be administered to the patient to treat this condition.