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Nicardipine hydrochloride for hypertensive crisis in patients with aortic dissection

Report by: Mei-Fwa Wong

Checked by: Zui-Shen Yen

Institutions: Department of Emergency Medicine, National Taiwan University Hospital and National Taiwan University College of Medicine, Taipei, Taiwan

Three-part question

In (an adult with aortic dissection accompanied by hypertensive crisis) does (nicardipine hydrochloride) improve the (blood pressure control, morbidity or mortality)?

Clinical scenario

A 55-year-old male patient came to the emergency department with the symptoms of acute onset of severe chest pain with radiation to the back, cold sweating and nausea. He had mild shortness of breath and his pain was most severe at onset. Physical examination revealed blood pressure: 210/120 mm Hg; heart rate: 101/min; respiratory …

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