A 70-year-old man is brought in with sudden onset severe tearing chest pain radiating to the back. Blood pressure is 190/110 mmHg, and there is a bloo...

Question

A 70-year-old man is brought in with sudden onset severe tearing chest pain radiating to the back. Blood pressure is 190/110 mmHg, and there is a blood pressure difference between arms. What is the most appropriate initial imaging modality in a haemodynamically stable patient?

Accepted Answer

CT angiography of the aorta

Answer

Chest X-ray only

Answer

Transthoracic echocardiography only

Answer

Abdominal ultrasound

Answer

Exercise stress test

au-amc MCQ (SBA): Acute aortic dissection

A 70-year-old man is brought in with sudden onset severe tearing chest pain radiating to the back. Blood pressure is 190/110 mmHg, and there is a blood pressure difference between arms. What is the most appropriate initial imaging modality in a haemodynamically stable patient?