Question

A 45 year old patient with hypertension presenting with acute severe chest pain & there is diaphoresis. Also there is h/o loss of consciousness, unequal pulses. In emergency condition which is the best one to make a diagnosis

• A. Cardiac enzymes
• B. MRI
• C. X-ray
• D. TEE

Answer 1

The Correct Option is D

A patient with acute severe chest pain, diaphoresis, loss of consciousness, and unequal pulses suggests a potential aortic dissection. This is an emergency condition requiring rapid diagnosis.

Given the symptoms and urgency, Transesophageal Echocardiography (TEE) is the most effective tool for diagnosing aortic dissection in emergency settings. TEE provides a clear view of the heart and aorta, enabling quick identification of dissections.

Diagnostic Tool	Reason for Suitability
TEE	Direct visualization of the aorta, rapid, and available in emergencies.

Other options, such as cardiac enzymes, MRI, and X-ray, are either not rapid enough or not adequately specific for diagnosing aortic dissection in an emergency. Therefore, TEE is the best choice for immediate diagnosis in this scenario.