Question

A 68-year-old with suspected acute type B aortic dissection has BP 182/98 mm Hg and HR 105 bpm. Initial management targets should be which of the following?

Accepted Answer

SBP <120 mm Hg and HR 60-80 with IV beta-blocker first

Answer

SBP <140 mm Hg and HR <100 with IV vasodilator alone

Answer

HR <50 regardless of BP using IV amiodarone

Answer

SBP <100 mm Hg only with IV nitroprusside

Answer

Increase preload with IV fluids then observe

Practice question

A 68-year-old with suspected acute type B aortic dissection has BP 182/98 mm Hg and HR 105 bpm. Initial management targets should be which of the following?