What medication is used for acute aortic dissection?
Medical management with antihypertensive therapy, including beta blockers, is the treatment of choice for all stable chronic aortic dissections. Pain management is an important but difficult aspect of medical therapy. Narcotics and opiates are the preferred agents.
When treating the patient with an aortic dissection What is the usual mean arterial pressure goal?
Blood pressure control is an essential therapy for patients with acute type B aortic dissection (ABAD) and should be maintained throughout the entire treatment. Thus, vast majority current guidelines recommend control the blood pressure to lower than 140/90 mmHg.
What is the main cause of aortic dissection?
Uncontrolled high blood pressure (hypertension) Hardening of the arteries (atherosclerosis) Weakened and bulging artery (aortic aneurysm) An aortic valve defect (bicuspid aortic valve)
Why must an aortic tear be corrected?
Why might I need an aortic dissection repair? An aortic dissection can be life-threatening if it is on the ascending aorta. This is the part of the aorta that goes up through your chest toward your head. A surgeon must repair this as soon as possible.
What to know about acute aortic dissection ( AAD )?
Key in the management of acute aortic dissection is to maintain a high level of suspicion for this diagnosis. Acute aortic dissection (AAD) is a potentially fatal condition that requires rapid assessment and treatment.
Is the Stanford type A dissection in the ascending aorta?
The Stanford type A dissection involves the ascending aorta, and type B is limited to the descending aorta, below the left subclavian artery. We suggested that a descending aortic dissection with dissection components in the aortic arch and no dissection in the ascending aorta be called non-A non-B dissection [ 4, 5 ].
What is a non-B dissection in the aortic arch?
We suggested that a descending aortic dissection with dissection components in the aortic arch and no dissection in the ascending aorta be called non-A non-B dissection [ 4, 5 ]. The DeBakey classification is similarly focused on ascending and descending involvement in the dissection process and the site of the primary entry tear.
How often does aortic dissection occur in the general population?
The incidence of acute aortic dissection in the general population is estimated to be about 2.5% per 100,000 person-years [ 1 ].
How to lower blood pressure after an aortic dissection?
To accomplish this, blood pressure is reduced as much as possible. Typically, beta-blockers or calcium channel blockers is prescribed to lower it. There is much pain with an aortic dissection. The pain and stress can cause blood pressure to rise, and that’s the last thing anyone wants.
How old do you have to be to have aortic dissection?
Methods: We reviewed the charts of 13 patients, seen in four medical centers, who suffered acute or chronic aortic dissection over the period 1970 through 2000 whilst under the age of 25 years. Results: There were seven male and six female patients, with the mean age at diagnosis being 12.1 years, with a range from one day to 25 years.
What is the prognosis for distal aortic dissection?
In those who present with distal (Stanford type B) AD, 60–70% present with high blood pressure, while 2–3% present with low blood pressure. Severe hypotension at presentation is a grave prognostic indicator. It is usually associated with pericardial tamponade, severe aortic insufficiency, or rupture of the aorta.
What happens when the aortic wall is dissected?
Aortic dissection also weakens the aortic wall and may lead to rupture, which may be fatal, or to formation of a balloon-like expansion of the aorta, known as an aneurysm. Figure 2. A, Schematic of an ascending (type A) aortic dissection, with arrows demonstrating openings or communications between the true lumen and false lumen.