Question

A 64-year-old man with known stable angina develops sudden-onset tearing chest pain radiating to his back. He is hypertensive and has unequal blood pressures in his arms. ECG is normal and troponin is negative. What is the most appropriate immediate investigation?

Accepted Answer

Urgent CT aortogram

Answer

Exercise tolerance test

Answer

Transthoracic echocardiogram as a routine outpatient

Answer

CT pulmonary angiogram

Answer

Coronary CT angiography

Practice question

A 64-year-old man with known stable angina develops sudden-onset tearing chest pain radiating to his back. He is hypertensive and has unequal blood pressures in his arms. ECG is normal and troponin is negative. What is the most appropriate immediate investigation?