RT Book, Section A1 Wald, David A. A2 Sherman, Scott C. A2 Weber, Joseph M. A2 Schindlbeck, Michael A. A2 Rahul G., Patwari SR Print(0) ID 1101223492 T1 Aortic Dissection T2 Clinical Emergency Medicine YR 2014 FD 2014 PB McGraw-Hill Education PP New York, NY SN 978-0-07-179460-2 LK accessemergencymedicine.mhmedical.com/content.aspx?aid=1101223492 RD 2024/04/20 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.