A 68-year-old man presents with exertional dyspnoea. Echocardiogram shows moderate aortic stenosis with valve area 1.2 cm² and peak velocity 3.2 m/s. ...

Question

A 68-year-old man presents with exertional dyspnoea. Echocardiogram shows moderate aortic stenosis with valve area 1.2 cm² and peak velocity 3.2 m/s. He is otherwise asymptomatic, active and has no syncope or chest pain. What is the most appropriate management plan?

Accepted Answer

Six-monthly echocardiography and review for symptoms

Answer

Immediate surgical aortic valve replacement

Answer

Percutaneous coronary intervention

Answer

No follow-up is required for moderate aortic stenosis

Answer

Start warfarin therapy

au-racp MCQ (SBA): Moderate aortic stenosis follow-up

A 68-year-old man presents with exertional dyspnoea. Echocardiogram shows moderate aortic stenosis with valve area 1.2 cm² and peak velocity 3.2 m/s. He is otherwise asymptomatic, active and has no syncope or chest pain. What is the most appropriate management plan?