Severe Aortic Stenosis — EECC MCQ

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MediumCardiologySevere Aortic StenosisEECC

A 70-year-old with severe aortic stenosis (Vmax 4.3 m/s, mean gradient 45 mmHg) develops syncope. What is the definitive therapy?

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Correct answer: C — TAVR/SAVR based on heart team evaluation

Symptomatic severe AS requires valve replacement (TAVR or SAVR), determined by a multidisciplinary heart team. Watchful waiting is inappropriate with symptoms. Balloon valvuloplasty is palliative/bridge. Medications do not address the valve lesion.

Reference: ACC/AHA Guideline (2020): Valvular Heart Disease