Question

A 72-year-old man with dizziness and systolic murmur has TTE showing severe AS (Vmax 4.2 m/s, mean gradient 45 mm Hg). He is asymptomatic with normal EF. Next step?

Accepted Answer

Balloon valvuloplasty

Answer

Immediate valve replacement for all severe AS

Answer

Exercise testing to unmask symptoms and risk

Answer

Start ACE inhibitor to reverse AS

Answer

Annual echo unnecessary

Practice question

A 72-year-old man with dizziness and systolic murmur has TTE showing severe AS (Vmax 4.2 m/s, mean gradient 45 mm Hg). He is asymptomatic with normal EF. Next step?