🫁 BOVA Score (Intermediate-risk PE)
Stratify 30-day risk in normotensive pulmonary embolism with the BOVA score.
BOVA Score (Intermediate-risk PE)
Systolic BP 90–100 mmHg
Elevated cardiac troponin
RV dysfunction (echo/CT)
Heart rate ≥ 110/min
When to use
Identify intermediate-risk PE patients who may deteriorate.
How it works
SBP 90–100 (2), troponin elevation (2), RV dysfunction (2), HR ≥ 110 (1). Stage I 0–2, II 3–4, III ≥ 5.
Key points
- Applies only to haemodynamically stable PE.
- Higher stages warrant closer monitoring.
- Combine with sPESI and biomarkers.
References
Decision support for licensed clinicians only; not a substitute for clinical judgement, diagnosis or local protocols.