A 45-year-old male presents to the emergency room with a sudden onset of tearing chest pain radiating to his back. His blood pressure is 150/90 mmHg in the right arm and 100/60 mmHg in the left arm. His medical history includes hypertension and Marfan syndrome. Based on the presenting symptoms and history, which diagnostic procedure will most likely confirm the suspected condition?
A CT angiogram is considered to be the best initial test for the diagnosis of aortic dissection, as it is widely available and provides a quick and accurate assessment of the aorta. An echocardiogram, while useful, is not as definitive as a CT angiogram for diagnosing an aortic dissection. Chest X-ray can show signs suggestive of an aortic dissection, such as mediastinal widening, but it is not diagnostic. EKG is not a diagnostic tool for aortic dissection, though it may rule out acute coronary syndrome or identify complications like aortic regurgitation.
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What is Marfan syndrome and how does it relate to aortic dissection?
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Cardiovascular Emergencies
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