Question

A 64-year-old man with severe aortic stenosis and angina has syncope during exertion. Echocardiogram shows a Vmax of 4.5 m/s and a mean gradient of 50 mm Hg. What is the next step in management?

Accepted Answer

Transcatheter or surgical valve replacement

Answer

Start nitrates and observe

Answer

Balloon valvuloplasty as definitive treatment

Answer

Beta blockers only

Answer

ACE inhibitors only

Practice question

A 64-year-old man with severe aortic stenosis and angina has syncope during exertion. Echocardiogram shows a Vmax of 4.5 m/s and a mean gradient of 50 mm Hg. What is the next step in management?