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Type A Dissection Haemodynamic Target — FRCA Final MCQ

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ModerateCardiothoracic AnaesthesiaType A Dissection Haemodynamic TargetFRCA Final

Type A aortic dissection, BP 180/100, HR 110. Haemodynamic target before induction?

Educational content. Not a substitute for clinical judgement or local policy.

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Correct answer: A — HR <60 and SBP <120

Reduce aortic wall shear stress: HR <60 (priority) and SBP <120. Esmolol/labetalol first-line. Add vasodilators only AFTER adequate beta-blockade to avoid reflex tachycardia. Pain control (opioids) also reduces sympathetic drive.

Reference: ESC – 2024 – Aortic diseases guidelines