Question

A 49-year-old man presents with sudden onset severe tearing chest pain radiating to the back. He is hypertensive, with unequal blood pressures in the arms. ECG is normal and troponin is pending. What is the most appropriate immediate diagnostic investigation?

Accepted Answer

Urgent CT angiography of the aorta

Answer

Transthoracic echocardiography alone

Answer

Exercise treadmill test

Answer

Coronary angiography

Answer

D-dimer assay only

Practice question

A 49-year-old man presents with sudden onset severe tearing chest pain radiating to the back. He is hypertensive, with unequal blood pressures in the arms. ECG is normal and troponin is pending. What is the most appropriate immediate diagnostic investigation?