A 75-year-old man with long-standing hypertension and coronary artery disease presents with progressive exertional dyspnoea and a harsh systolic murmu...

Question

A 75-year-old man with long-standing hypertension and coronary artery disease presents with progressive exertional dyspnoea and a harsh systolic murmur radiating to the carotids. Echocardiography confirms severe aortic stenosis with symptoms. According to valve disease management principles, what is the most appropriate management?

Accepted Answer

Refer for valve replacement (surgical or transcatheter)

Answer

Continue medical management and observe annually

Answer

Start high-dose beta-blocker therapy alone

Answer

Advise avoidance of exertion and no intervention

Answer

Start ACE inhibitor and nitrates as sole treatment

ca-mccqe1 MCQ (SBA): Symptomatic severe aortic stenosis