A 70-year-old with heart murmur has severe symptomatic aortic stenosis (AVA 0.7 cm², mean gradient 45 mm Hg). What intervention improves survival?...

Question

A 70-year-old with heart murmur has severe symptomatic aortic stenosis (AVA 0.7 cm², mean gradient 45 mm Hg). What intervention improves survival?

Accepted Answer

Aortic valve replacement (surgical or transcatheter based on evaluation)

Answer

Medical therapy only

Answer

Balloon aortic valvotomy as definitive therapy

Answer

High-dose beta-blockers

Answer

Long-term nitrates

us-abim MCQ (SBA): Severe Aortic Stenosis