A patient presents with tearing chest pain radiating to the back. BP is 198/110 mm Hg, HR 108/min; CXR shows mediastinal widening; CTA confirms Stanfo...

Question

A patient presents with tearing chest pain radiating to the back. BP is 198/110 mm Hg, HR 108/min; CXR shows mediastinal widening; CTA confirms Stanford type A dissection. Immediate medical target before surgery?

Accepted Answer

Lower HR to

Answer

Lower SBP to

Answer

Start IV heparin to prevent thrombosis while awaiting surgery

Answer

Use IV hydralazine to rapidly reduce BP below 90/60 mm Hg

Answer

Administer high-dose nitroglycerin to reduce afterload only

us-abem MCQ (SBA): Aortic Dissection

A patient presents with tearing chest pain radiating to the back. BP is 198/110 mm Hg, HR 108/min; CXR shows mediastinal widening; CTA confirms Stanford type A dissection. Immediate medical target before surgery?