A 59-year-old has exertional syncope and a harsh ejection systolic murmur. Echocardiography shows a calcified aortic valve, peak velocity 4.2 m/s, mea...

Question

A 59-year-old has exertional syncope and a harsh ejection systolic murmur. Echocardiography shows a calcified aortic valve, peak velocity 4.2 m/s, mean gradient 44 mmHg and valve area 0.8 cm². What is the best interpretation?

Accepted Answer

Symptomatic severe stenosis requiring valve-team assessment

Answer

Mild aortic stenosis requiring interval surveillance

Answer

Moderate stenosis requiring symptom surveillance

Answer

Severe stenosis conditional on reduced ejection fraction

Answer

Aortic sclerosis requiring risk-factor management

Aortic Stenosis Severity — MRCP Part 1 MCQ

A 59-year-old has exertional syncope and a harsh ejection systolic murmur. Echocardiography shows a calcified aortic valve, peak velocity 4.2 m/s, mean gradient 44 mmHg and valve area 0.8 cm². What is the best interpretation?