Question

A 35-year-old man presents to the Emergency Department with severe, 'tearing' chest pain radiating to his back. He has a history of Marfan syndrome. His blood pressure is 190/110 mmHg in the right arm and 150/90 mmHg in the left arm. What is the most appropriate immediate investigation?

Accepted Answer

CT aortogram

Answer

Transoesophageal echocardiogram (TOE)

Answer

Transthoracic echocardiogram (TTE)

Answer

D-dimer

Answer

Serial troponins

Practice question

A 35-year-old man presents to the Emergency Department with severe, 'tearing' chest pain radiating to his back. He has a history of Marfan syndrome. His blood pressure is 190/110 mmHg in the right arm and 150/90 mmHg in the left arm. What is the most appropriate immediate investigation?