A 50-year-old woman with severe chest pain radiating to the back, differing blood pressures in each arm, and acute distress. ECG is normal. Suspect ao...

Question

A 50-year-old woman with severe chest pain radiating to the back, differing blood pressures in each arm, and acute distress. ECG is normal. Suspect aortic dissection. Best initial imaging?

Accepted Answer

Transoesophageal echo or contrast-enhanced CT scan

Answer

Chest X-ray

Answer

Transthoracic echo

Answer

MRI aorta

Answer

Coronary angiography

NICE Thoracic Aortic Aneurysm Guideline MCQ (SBA): Aortic dissection

A 50-year-old woman with severe chest pain radiating to the back, differing blood pressures in each arm, and acute distress. ECG is normal. Suspect aortic dissection. Best initial imaging?