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1615 Unknown

A 65-year-old hypeensive male presented to the ER with sudden onset of pain in the back of the chest more so in the interscapular region. He described it as very severe and tearing in nature along with dyspnea, hemiplegia and hemianesthesia. Patient also complained of frequent episodes of syncope in the past 2 days. O/E: – Hypotension Feeble pulses in B/L radial aeries Wide pulse pressure Diastolic murmur heard which was radiating towards the right sternal border. X-RAY CHEST ECG CECT CHEST All of the following are true about the condition except: –

AThe most frequent pre-existing histologically detectable lesion is cystic medial degeneration
BInflammation is usually present.
CSimilar condition in a young patient would have pointed towards a diagnosis of a connective tissue disorder.
DBeta-blockers unless contraindicated can be given in the above condition.
Unknown
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