Revised Geneva (Objective): Does not rely on clinical gestalt. High scores (≥ 11) indicate a 74% prevalence of PE and mandate immediate imaging.
1. Clinical Predictors
2. Heart Rate Assessment
Revised Geneva Score
Probability Class
Low Probability
~8% Prevalence
Diagnostic Action Plan
D-dimer
Verified
Last Review: 2026-07-17
| Criterion | Points |
|---|---|
| Age > 65 years | 1 |
| Previous DVT or PE | 3 |
| Surgery (GA) or LL fracture < 1 month | 2 |
| Active Malignant Tumor | 2 |
| Unilateral Lower Limb (LL) pain | 3 |
| Hemoptysis | 2 |
| Heart Rate 75 - 94 bpm | 3 |
| Heart Rate ≥ 95 bpm | 5 |
| Pain on LL deep venous palpitation and unilateral edema | 4 |
| Score | Probability Level | PE Prevalence |
|---|---|---|
| 0 - 3 | Low Probability | 8% |
| 4 - 10 | Intermediate Probability | 28% |
| ≥ 11 | High Probability | 74% |
Le Gal G et al. • Annals of Internal Medicine. 2006;144(3):165-71.
View SourceKlukowska-Roetzler A et al. • Swiss Medical Weekly. 2020;Comparison of performance metrics.
View SourceLast Comprehensive Review: 2026-07-17
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