History of hypertension-coronary artery disease

Reference no: EM133712826

Question

A 70-year-old woman with a history of hypertension, coronary artery disease, and smoking presents with tearing chest pain across the chest that radiates to the back for the past 1 hour. Vitals are HR 100 bpm, BP 190/110 mmHg RR 18 per minute, a O_{2} saturation 97% on RA. A chest CT with contrast shows an aortic dissection extending 1 cm distal to the left subclavian artery to 2 cm superior to the renal arteries. What is the most appropriate management strategy?

Reference no: EM133712826

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