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Acute aortic dissection — RCPSC IM MCQ

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ModerateCardiologyAcute aortic dissectionRCPSC IM

A 62-year-old man has abrupt tearing chest pain radiating to the back. Blood pressure is 218/104 mmHg in the right arm and 184/90 mmHg in the left. CT angiography shows a Stanford type B aortic dissection without malperfusion, rupture or refractory pain. Heart rate is 112/min. What is the most appropriate management?

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Correct answer: C — Intravenous beta-blockade followed by vasodilator therapy if needed

Uncomplicated type B dissection is initially treated medically with rapid heart-rate control, usually intravenous beta-blockade, then blood pressure reduction. Vasodilators should not precede impulse control.

Reference: CCS aortic disease guidance