Question

A 72-year-old with severe aortic stenosis (Vmax 4.2 m/s, mean gradient 45 mm Hg, AVA 0.8 cm²) reports exertional dyspnoea and presyncope. Next best management?

Accepted Answer

Aortic valve replacement is indicated

Answer

Balloon aortic valvuloplasty as definitive therapy

Answer

Medical therapy with beta blockers alone

Answer

No intervention; monitor yearly

Answer

Start ACE inhibitor to reduce afterload, no procedure

Practice question

A 72-year-old with severe aortic stenosis (Vmax 4.2 m/s, mean gradient 45 mm Hg, AVA 0.8 cm²) reports exertional dyspnoea and presyncope. Next best management?