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HardCardiologyAcute aortic dissectionau-amcau-acemau-racp

A 42‑year‑old woman is admitted with sudden onset tearing chest and back pain. Blood pressure is 195/110 mmHg in the right arm and 170/90 mmHg in the left, with a new early diastolic murmur. CT aortogram confirms an acute Stanford type B aortic dissection without signs of rupture or malperfusion. According to standard management recommendations, which is the most appropriate immediate blood pressure target?

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