Question

A 59-year-old man presents with worsening exertional dyspnoea and chest tightness. Echocardiography shows severe calcific aortic stenosis with valve area 0.7 cm² and mean gradient 45 mmHg. He has episodes of presyncope on exertion. What is the most appropriate management?

Accepted Answer

Aortic valve replacement or transcatheter aortic valve implantation after cardiology assessment

Answer

Annual echocardiographic surveillance only

Answer

Commence beta blocker therapy and review in 6 months

Answer

Balloon aortic valvuloplasty as definitive therapy

Answer

Endocarditis prophylaxis alone without intervention

Practice question

A 59-year-old man presents with worsening exertional dyspnoea and chest tightness. Echocardiography shows severe calcific aortic stenosis with valve area 0.7 cm² and mean gradient 45 mmHg. He has episodes of presyncope on exertion. What is the most appropriate management?