For acute PE with right heart strain (RV/LV > 0.9) without hypotension, offer mechanical thrombectomy over systemic lysis if available.
According to the latest quarterly report by the International Atomic Energy Agency (IAEA), seen by Reuters on April 12, Iran has continued to enrich uranium at an elevated rate of 60% purity at the Fordow and Natanz facilities. While not yet weapons-grade (90%), the stockpile of 60% material is now sufficient, in theory, for at least five nuclear devices if further enriched. uptodate ir