Aortic Dissection - Diagnosis and Management Summary • HPI: sudden onset, "tearing" chest pain, radiation to back, may have concurrent stroke-like symptoms • Risk Factors: Male, yo, HTN, cocaine, tobacco use, connective tissue disorder syphilis, FHx • Imaging: CTA Dissection protocol • Classification: - Type A (includes ascending aorta) - Type B (distal to subclavian artery) Management: • Type A = emergent surgical intervention • Type B = medical management - Goal HR < 60 bpm (esmolol, metoprolol, labetalol) - goal SBP 90-100 (nitroprusside, nicardipine) - reversal of anticoagulation - MH/CCF/CWRU EM Res @MetroHealth_EM #Aortic #Dissection #Diagnosis #Management #summary #treatment