Question

A 59-year-old presents with acute tearing chest pain radiating to the back, BP 198/102 mmHg. CT shows type B aortic dissection without complications. Initial medical target?

Accepted Answer

Start IV β-blocker to HR <60 and reduce SBP to 100-120 mmHg

Answer

Increase HR to improve perfusion

Answer

Start IV nitroprusside alone

Answer

Immediate thoracic endovascular repair for all type B dissections

Answer

Begin IV hydralazine monotherapy

Practice question

A 59-year-old presents with acute tearing chest pain radiating to the back, BP 198/102 mmHg. CT shows type B aortic dissection without complications. Initial medical target?