PERC Rule

Pulmonary Embolism Rule-out Criteria for low-risk patients.

IMPORTANT: PERC applies ONLY to patients with LOW clinical suspicion for PE.

PERC Criteria

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PERC Result

Negative

PE ruled out (if low pretest probability)

No Testing Needed

  • • PE is effectively ruled out
  • • D-dimer NOT indicated
  • • Consider alternative diagnoses

The 8 PERC Criteria

Age ≥ 50 years
Heart rate ≥ 100 bpm
O2 saturation < 95%
Unilateral leg swelling
Hemoptysis
Recent trauma/surgery (4 wks)
Prior DVT or PE
Hormone use (OCP, HRT)

Reference: Kline JA, et al. J Thromb Haemost 2004.

Frequently Asked Questions
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