A 55-year-old man is admitted to the Emergency Department with 'tearing' chest pain radiating through to his back. Examination reveals a pulse of 96 / min regular, blood pressure of 130/85 mmHg and oxygen saturation s of 97% on room air. A chest x-ray shows mediastinal widening. A CT shows dissection of the ascending aorta. What is the most suitable initial management?
A. IV sodium nitroprusside
B. Oral verapamil
C. Observe only
D. IV labetalol***
E. Surgical repair
A. IV sodium nitroprusside
B. Oral verapamil
C. Observe only
D. IV labetalol***
E. Surgical repair
Labels
cardiology