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CardiologyQ 47 / 120
A 62-year-old presents with tearing chest pain radiating to the back and a blood pressure difference of 22 mmHg between arms. What is the most likely diagnosis?
AIschaemic chest pain with dynamic ST changes
BPericarditis with concave ST elevation
CAortic dissection with radiating back pain
DPulmonary embolism with pleuritic chest pain
Aortic dissection. Interarm BP discrepancy > 20 mmHg plus migrating pain is classical — get a CT aortogram.
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