Pre-Quiz: Acute aortic dissection Cardiology 213

A 52-year-old female with a medical history of diabetes, hypertension, and dyslipidemia presents in the emergency department with symptoms like severe chest discomfort, headache, vomiting, and neck stiffness over several hours. Upon examination, her blood pressure is 197/124 mm Hg, pulse is at 120 beats per minute, 19 respirations per minute, and oxygen saturation is 98% on room air. Significant physical examination findings include papilledema. She also exhibits gross hematuria and proteinuria. The diagnostic imaging has disclosed the dissection of an ascending aortic aneurysm. Which of the following is the best initial step in the management of this patient’s hypertensive emergency?

A 68-year-old male presents to the emergency department complaining of severe chest pain and shortness of breath. Based on his symptoms, the physician suspects a type of aortic dissection involving the ascending aorta. What is the standard categorization for this type of aortic dissection?

A 65-year-old gentleman, with a history of uncontrolled hypertension and hyperlipidemia, arrives at the emergency department complaining of severe chest pain. His blood pressure on arrival is low. An echocardiogram reveals evidence of an aortic intimal flap. Which diagnostic test should be undertaken urgently to identify pseudohypotension caused by this intimal flap?

A 55-year-old male arrives at the emergency room, reporting severe radiating chest pain. He is diagnosed with Stanford Type A aortic dissection with hypotension stemming from aortic rupture. Which should be the immediate priority in his treatment?

A 58-year-old male with history of hypertension, diabetes, and smoking is admitted to the emergency department after presenting with severe, sharp chest pain. A CT scan confirms a Stanford Type A aortic dissection. His heart rate is maintained at a steady 60 bpm with β-blockers. Based on international guidelines, what is the recommended systolic blood pressure (SBP) goal for this patient post initial heart rate control?