A 60-year-old man with suspected acute type A aortic dissection presents with tearing chest pain and BP 182/98 mm Hg. What is the most appropriate imm...

Question

A 60-year-old man with suspected acute type A aortic dissection presents with tearing chest pain and BP 182/98 mm Hg. What is the most appropriate immediate pharmacologic step while arranging definitive management?

Accepted Answer

Start IV esmolol to target HR

Answer

then add vasodilator if needed

Answer

Start IV nitroprusside alone to rapidly lower SBP

Answer

Give high-dose IV hydralazine

Answer

Begin dual antiplatelet therapy with aspirin and clopidogrel

aha/acc guideline (2022): aortic disease MCQ (SBA): Acute Type A Aortic Dissection

A 60-year-old man with suspected acute type A aortic dissection presents with tearing chest pain and BP 182/98 mm Hg. What is the most appropriate immediate pharmacologic step while arranging definitive management?