Question

A 73-year-old presents with acute chest/back pain. BP 180/95, HR 110; CTA shows Stanford type A aortic dissection. Initial haemodynamic management?

Accepted Answer

Immediate IV esmolol then add vasodilator if needed

Answer

IV nitroprusside alone

Answer

Oral beta blocker and observe

Answer

Immediate IV hydralazine monotherapy

Answer

No BP control prior to OR

Practice question

A 73-year-old presents with acute chest/back pain. BP 180/95, HR 110; CTA shows Stanford type A aortic dissection. Initial haemodynamic management?