Post-Quiz: Acute aortic dissection Cardiology 213

A 62-year-old male with a history of hypertension presents with sudden onset severe chest pain radiating to the back, along with a measured difference in blood pressure between his arms of more than 20 mmHg. A subsequent chest X-ray reveals a widened mediastinum. Considering the Stanford Classification System, which type of aortic dissection typically necessitates emergent surgery as a first-line treatment?

A 65-year-old male patient with a long-standing history of hypertension presents to the emergency department with intense chest pain radiating to his back. The sudden onset of pain, along with an examination and imaging studies, leads to a diagnosis of Stanford type B aortic dissection. In this situation, what is the primary pharmacological management goal?

A 65-year-old gentleman, with a history of uncontrolled hypertension and hyperlipidemia, arrives at the emergency department complaining of severe chest pain. His blood pressure on arrival is low. An echocardiogram reveals evidence of an aortic intimal flap. Which diagnostic test should be undertaken urgently to identify pseudohypotension caused by this intimal flap?

A 55-year-old male arrives at the emergency room, reporting severe radiating chest pain. He is diagnosed with Stanford Type A aortic dissection with hypotension stemming from aortic rupture. Which should be the immediate priority in his treatment?

A 58-year-old male with history of hypertension, diabetes, and smoking is admitted to the emergency department after presenting with severe, sharp chest pain. A CT scan confirms a Stanford Type A aortic dissection. His heart rate is maintained at a steady 60 bpm with β-blockers. Based on international guidelines, what is the recommended systolic blood pressure (SBP) goal for this patient post initial heart rate control?