Question

A 45-year-old with chronic Type B aortic dissection has SBP 168 mm Hg and HR 98. Initial medical therapy should target which hemodynamic goals?

Accepted Answer

SBP 100-120 mm Hg and HR ~60 bpm using IV beta-blockade first

Answer

SBP <90 mm Hg; HR <40 bpm using vasodilators first

Answer

SBP <160 mm Hg; HR <90 bpm using calcium channel blockers first

Answer

MAP >85 mm Hg with vasopressors

Answer

No medical therapy; immediate TEVAR in all cases

Practice question

A 45-year-old with chronic Type B aortic dissection has SBP 168 mm Hg and HR 98. Initial medical therapy should target which hemodynamic goals?