Question

A 73-year-old with severe calcific aortic stenosis (peak velocity 4.3 m/s, mean gradient 45 mm Hg) is now symptomatic with exertional dyspnea. EF is 60%. What is the best next step?

Accepted Answer

Observation

Answer

Start high-intensity statin therapy only

Answer

Schedule aortic valve replacement

Answer

Begin ACE inhibitor and observe

Answer

Balloon valvotomy as definitive therapy

Practice question

A 73-year-old with severe calcific aortic stenosis (peak velocity 4.3 m/s, mean gradient 45 mm Hg) is now symptomatic with exertional dyspnea. EF is 60%. What is the best next step?