5th June 2026

A 60-year-old female with chronic poorly controlled hypertension and a moderate BMI presents with a confirmed type A aortic dissection.

A 60-year-old female with chronic poorly controlled hypertension and a moderate BMI presents with a confirmed type A aortic dissection. She is an ex-smoker with a 4-pack-a-year history from 20 years ago. What is the most significant risk factor for developing an aortic dissection?

Select the SINGLE most appropriate option from the list below. Select ONE option only.