A 63-year-old man presents to A&E with sudden onset tearing chest pain radiating to the back. He is hypertensive with blood pressure 190/105 mmHg and ...

Question

A 63-year-old man presents to A&E with sudden onset tearing chest pain radiating to the back. He is hypertensive with blood pressure 190/105 mmHg and has a new early diastolic murmur. ECG is normal and troponin is pending. What is the most appropriate investigation to confirm the diagnosis?

Accepted Answer

CT aortography of the chest

Answer

Echocardiography only

Answer

Chest X-ray

Answer

Exercise treadmill test

Answer

Coronary angiography

uk-plab-1 MCQ (SBA): Acute aortic dissection

A 63-year-old man presents to A&E with sudden onset tearing chest pain radiating to the back. He is hypertensive with blood pressure 190/105 mmHg and has a new early diastolic murmur. ECG is normal and troponin is pending. What is the most appropriate investigation to confirm the diagnosis?