for management of Aortic dissection, the first line of T/t for both Stanford A &B was giving Esmolol na?? To bring down BP for “Permissive hypotension” ?
It can involve coronary artery with aortic root leading to fatal aortic regurgitation that’s why it’s emergency condition…
Stanford A dissection : IMMEDIATE SURGERY
Ascending Aortic Dissection is a Surgical Emergency!
Yes, true. But even before doing emergency surgery in Stanford A, we have to bring down BP first, as Sir said in video lecture. Thats creating confusion, as the question is asking next best step.
Stanford A is an immediate indication of surgery and it can go retrograde and involve coronaries and cause even MI.
Stanford B - we can wait and manage the BP by beta blockers.
Yes, true. But even before doing emergency surgery in Stanford A, we have to bring down BP first, as Sir said in video lecture. Thats creating confusion, as the question is asking next best step.