title: [Acute aortic syndrome: medical care at acute phase and long-term follow-up].
abstract: For the management of acute aortic syndromes, there is a major interest of a multidisciplinary decision: resuscitator, cardiologist, radiologist, vascular surgeons. Do not delay the thoracic computed tomography: the gold standard in such an urgent situation. Use intravenous beta-blocade therapy anytime it is possible. At the acute phase: systolic blood pressure target is < 120 mmHg, and the heart rhythm target is < 60 bpm. Type A acute aortic dissection is a surgical emergency. Type B acute aortic dissection is a medical emergency and need a management of peripheral ischemia and/or organ failures if necessary. Beta-blocade therapy has to be pursued indefinitely at discharge. The angiotensin II receptor blockers (ARB) could be a future treatment in patient swith a Marfan syndrome. All etiological investigations of hypertension are systematically performed. Cardiovascular risk stratification and management is mandatory. Educational support and use of ambulatory blood pressure monitoring. Clinical and MRI follow-up at six month and then once a year, and in any case of suspicious clinical manifestations are needed.
authors.affiliation: CHRU de Lille, hôpital cardiologique, clinique médicochirurgicale vasculaire, boulevard Pr-Leclercq, 59037 Lille cedex, France. pascal.delsart@chru-lille.fr
authors.forename: Pascal
authors.initials: P
authors.lastname: Delsart
authors.forename: Gonzague
authors.initials: G
authors.lastname: Claisse
authors.forename: Nadia
authors.initials: N
authors.lastname: Bouabdallaoui
authors.forename: Marco
authors.initials: M
authors.lastname: Midulla
authors.forename: Stephan
authors.initials: S
authors.lastname: Haulon
authors.forename: Claire
authors.initials: C
authors.lastname: Mounier-Vehier
mesh_terms: D000208:Acute Disease; D000465:Algorithms; D001018:Aortic Diseases / Q000175:diagnosis* / Q000628:therapy*; D005500:Follow-Up Studies; D006801:Humans; D013577:Syndrome; D013997:Time Factors