TY - CHAP M1 - Book, Section TI - Aortic Dissection A1 - Wald, David A. A2 - Sherman, Scott C. A2 - Weber, Joseph M. A2 - Schindlbeck, Michael A. A2 - Rahul G., Patwari PY - 2014 T2 - Clinical Emergency Medicine AB - Always consider aortic dissection in patients presenting with the acute onset of chest or thoracic back pain.Initiate a rapid reduction in heart rate and blood pressure in all patients with a high clinical suspicion for aortic dissection before obtaining confirmatory diagnostic imaging.Stanford type A (proximal) dissections typically require surgical intervention, whereas Stanford type B (distal) dissections are managed medically.Complications of acute dissection include myocardial infarction, cardiac tamponade, aortic valve insufficiency, stroke, renal failure, paralysis, limb ischemia, and death. SN - PB - McGraw-Hill Education CY - New York, NY Y2 - 2024/04/19 UR - accessemergencymedicine.mhmedical.com/content.aspx?aid=1101223492 ER -