Question

A 54-year-old with chest pain and tearing back pain is suspected to have acute aortic syndrome (hemodynamically stable). Initial antihypertensive approach?

Accepted Answer

Start IV beta-blocker (e.g., esmolol) to reduce HR <60, then add vasodilator if needed

Answer

Start nitroprusside alone to lower BP quickly

Answer

Give IV labetalol only if BP >200/120

Answer

Start ACE inhibitor infusion

Answer

Delay therapy until CT confirms diagnosis

Practice question

A 54-year-old with chest pain and tearing back pain is suspected to have acute aortic syndrome (hemodynamically stable). Initial antihypertensive approach?