Final answer:
For acute thoracic aortic dissection, the treatment often includes pain management and antihypertensive medications, and may follow similar protocols to those used for treating myocardial infarction, which include supplemental oxygen, aspirin, and nitroglycerine, along with long-term use of thrombolytic agents and possible surgical interventions.
Step-by-step explanation:
For acute thoracic aortic dissection, a therapeutic regimen is recommended that may vary depending on the severity and location of the dissection, but generally follows principles similar to treatment of myocardial infarction (MI) or heart attack. Initial treatments often include medications to manage pain and reduce blood pressure, thereby reducing stress on the aorta. These may include beta-blockers or other antihypertensives. In the case of myocardial infarction, immediate treatments are crucial and can include administering supplemental oxygen, aspirin to help break up clots, and sublingual nitroglycerine to facilitate absorption and act as a vasodilator. Long-term care may involve the use of thrombolytic agents, anticoagulants like heparin, and procedures such as balloon angioplasty, stent placement, or bypass surgery. In severe cases, a coronary replacement or assist device might be necessary.