What would be the goal systolic blood pressure in a patient with aortic dissection that is currently on esmolol?

In the management of aortic dissection, one of the primary goals is to reduce the systolic blood pressure to minimize stress on the aortic wall and prevent progression of the dissection. Esmolol, a selective beta-1 adrenergic antagonist, is often used in this context due to its rapid onset and short duration of action, allowing for precise control of heart rate and blood pressure.

The desired systolic blood pressure for patients with aortic dissection is typically in the range of 100-120 mmHg. This range aims to provide optimal control to reduce ventricular force while ensuring adequate perfusion to vital organs. Maintaining the systolic blood pressure at this level is crucial, as higher readings could exacerbate the dissection or lead to further complications.

The other options suggest higher systolic blood pressure ranges, which would not be appropriate for an acute aortic dissection management. A target above 120 mmHg could increase the risk of additional tearing of the aorta or complicating existing dissection, emphasizing why the goal of 100-120 mmHg is critical in this clinical scenario.