ToolsCalculators
Composite Pulmonary Embolism Shock (CPES) Score
Severity framework for normotensive pulmonary embolism.
Composite Pulmonary Embolism Shock (CPES) Score
Tachycardia (heart rate >100/min)
Right ventricular dysfunction (imaging)
Elevated troponin
Elevated BNP / NT-proBNP
Central (main/saddle) pulmonary artery thrombus
Concomitant deep vein thrombosis
Result0 points
Higher scores identify normotensive PE at lower risk of clinical deterioration and normotensive shock.
- Risk band
- lower (of 6)
When to use
- Grading severity of normotensive (intermediate-risk) acute pulmonary embolism.
Formula
One point each for tachycardia, RV dysfunction, elevated troponin, elevated BNP, central thrombus, and concomitant DVT. Range 0-6.
Pearls and pitfalls
- An equally weighted severity framework, not a multivariable-fitted model.
- Intended to flag patients who may benefit from advanced therapy/monitoring.