PulmonologyScore

Bova Score for Pulmonary Embolism Complications

Predicts 30-day PE-related complications (hemodynamic collapse, death from PE, or recurrent PE) in hemodynamically stable (normotensive) patients with acute pulmonary embolism. Stratifies intermediate-risk PE into low, intermediate-high, and high stages to guide intensity of monitoring and treatment.

Parameters

Heart Rate ≥ 110 bpm

Heart rate < 110 bpm+0Heart rate ≥ 110 bpm (tachycardia)+2

Systolic Blood Pressure 90–99 mmHg

SBP ≥ 100 mmHg (hemodynamically stable)+0SBP 90–99 mmHg (borderline low — still normotensive)+2

Right Ventricular (RV) Dysfunction

No RV dysfunction on imaging (or no imaging performed/available)+0RV dysfunction present on echocardiography or CT (RV/LV ratio > 0.9)+2

Elevated Cardiac Troponin

Troponin within normal limits+0Troponin elevated (above ULN for assay used)+2

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