Question

A 67-year-old with aortic dissection type B presents with severe pain, SBP 182, HR 105. Initial medical goal?

Accepted Answer

Reduce HR to <60 bpm with IV beta-blocker and target SBP 100-120 mm Hg

Answer

Lower SBP to <90 mm Hg with nitroprusside alone

Answer

Start high-dose IV vasodilator without rate control

Answer

Give IV labetalol only if HR >120

Answer

Avoid lowering blood pressure early

Practice question

A 67-year-old with aortic dissection type B presents with severe pain, SBP 182, HR 105. Initial medical goal?