CLINICAL MEDICINE

MEDICINE

CARDIOLOGY

Question [CLICK ON ANY CHOICE TO KNOW THE RIGHT ANSWER]
A 42-year-old male presented at the emergency as severe sharp chest pain, dyspnea and orthopnea. Chest computed tomography revealed type A aortic dissection. BP 80/55 mmHg. HR 110 bpm. Chest X-ray showed pulmonary edema. What is the most probable combined valve disease the patient will have?
A
Aortic stenosis.
B
aortic regurgitation
C
mitral stenosis
D
mitral regurgitation
Explanation: 

Detailed explanation-1: -The pain of aortic dissection is typically distinguished from the pain of acute myocardial infarction by its abrupt onset, though the presentations of the two conditions overlap to some degree and are easily confused.

Detailed explanation-2: -A large ascending aortic aneurysm can compress vessels, leading to hypertension and pulmonary edema, as in this patient.

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