In the treatment of aortic dissection, which medication is used alongside B-blockers?

In the management of aortic dissection, the primary goal is to lower the heart rate and blood pressure to reduce the stress on the aortic wall. Beta-blockers are commonly used for this purpose, as they decrease the heart rate and myocardial contractility. However, in cases where blood pressure needs further reduction, especially in the setting of acute aortic dissection, nitroprusside is introduced as an adjunctive treatment.

Nitroprusside is a potent vasodilator that acts rapidly to lower systemic vascular resistance and blood pressure. When used in conjunction with beta-blockers, it allows for the effective management of hypertension without significantly increasing heart rate, which could exacerbate the dissection. This combined approach is critical, as maintaining optimal hemodynamics is essential for preventing complications associated with the dissection, such as rupture or compromised blood flow to vital organs.

Other options, while they may have roles in cardiovascular management, do not align with the specific needs presented in the treatment of aortic dissection in this context. Aspirin is mainly used for its antiplatelet effects, nitroglycerin primarily dilates venous vessels and does not significantly contribute to blood pressure control in the same way, and verapamil is a