A 56-year-old woman with poorly controlled hypertension presents with tearing chest pain radiating to the back. Blood pressure is 210/110 mmHg. CT ang...

Question

A 56-year-old woman with poorly controlled hypertension presents with tearing chest pain radiating to the back. Blood pressure is 210/110 mmHg. CT angiography confirms a Stanford type A aortic dissection. What is the most appropriate immediate blood pressure and heart rate management?

Accepted Answer

Rapidly lower systolic BP to

Answer

No blood pressure control is needed

Answer

Use vasodilator alone without beta-blocker

Answer

Aim for systolic BP

Answer

Delay blood pressure control until after surgery

ca-mccqe1 MCQ (SBA): Aortic dissection - acute medical management

A 56-year-old woman with poorly controlled hypertension presents with tearing chest pain radiating to the back. Blood pressure is 210/110 mmHg. CT angiography confirms a Stanford type A aortic dissection. What is the most appropriate immediate blood pressure and heart rate management?