A 64-year-old man is admitted to the Emergency Department with chest pain radiating through to his back. On examination pulse 90 regular, BP 140/90. A CXR shows mediastinal widening. A CT shows dissection o f the descending aorta. What is the most suitable initial management?
A.A Observe only
B.A IV labetalol ***
C.A IV sodium nitroprusside
D.A Immediate surgical referral
E.A Oral verapamil.
A.A Observe only
B.A IV labetalol ***
C.A IV sodium nitroprusside
D.A Immediate surgical referral
E.A Oral verapamil.
Labels
cardiology