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Novel finding of pulmonary embolism following tirzepatide (Manjaro) use in a young adult without risk factors of venous thromboembolic events.

BMJ Case Rep · 2025

Last updated 2026-05-28

A woman in her early 40s developed a pulmonary embolism after taking tirzepatide for 20 days, despite having no known risk factors for blood clots. Her symptoms included chest pain and shortness of breath, and a scan confirmed a blockage in her right lung artery. The case is the first reported possible link between tirzepatide and pulmonary embolism, but more research is needed to understand any connection.

AI summary of the abstract below.

JournalBMJ Case Rep, 2025
Citations0
Molecules tirzepatide

Abstract

A woman in her early 40s presented with pleuritic chest pain and shortness of breath, which had progressively worsened over 20 days following initiation of tirzepatide (Manjaro). Her D-dimer level was elevated at 1340 ng/mL, prompting a CT pulmonary angiogram that confirmed right main pulmonary artery pulmonary embolism (PE). The patient had no identifiable provoked or unprovoked risk factors for venous thromboembolisms (VTEs). To our knowledge, this is the first reported case of PE that might be associated with the use of tirzepatide worldwide. The relationship between tirzepatide and VTEs events remains unclear. This case highlights the need for further research to explore the incidence and underlying mechanisms of VTEs in patients receiving tirzepatide.

Verbatim abstract via PubMed 40669882 ↗

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