Question

A 67-year-old with suspected severe aortic disease (Marfan syndrome) has thoracic aortic aneurysm 5.2 cm. Initial medical therapy while planning surgery?

Accepted Answer

Non-selective beta-blocker or ARB to lower BP and shear stress

Answer

Start high-dose statin only

Answer

Start hydralazine to increase heart rate

Answer

No blood pressure therapy until surgery

Answer

Immediate dual antiplatelet therapy

Practice question

A 67-year-old with suspected severe aortic disease (Marfan syndrome) has thoracic aortic aneurysm 5.2 cm. Initial medical therapy while planning surgery?