A 35-year-old man with Marfan syndrome presents with sudden-onset severe chest pain, dyspnea, and a new diastolic murmur at the left sternal border. His blood pressure is elevated bilaterally, and he has unequal arm pulses. Chest X-ray shows a widened mediastinum. Which of the following is the most appropriate acute intervention?

  1. A)Intravenous vasodilators and diuretics
  2. B)Urgent cardiac catheterization
  3. C)Immediate cardiac surgery consultation and aortic imagingGABARITO
  4. D)Thrombolytic therapy
  5. E)Echocardiography and observation

Explicação

The clinical presentation suggests aortic dissection with acute aortic regurgitation (diastolic murmur), which is a surgical emergency in Marfan syndrome. The widened mediastinum, unequal pulses, and hemodynamic instability require immediate aortic imaging (CT... Ver explicação completa e trilha adaptativa →

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