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Pre-TAVI Assessment — EECC MCQ

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EasyValvular Heart DiseasePre-TAVI AssessmentEECC

Per the 2025 ESC/EACTS VHD Guidelines, in which group of TAVI candidates is CCTA now recommended as the first-line investigation for coronary artery disease assessment?

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Correct answer: A — TAVI candidates with 50% or lower pre-test likelihood of obstructive CAD

The 2025 ESC/EACTS VHD Guidelines recommend CCTA as first-line for CAD assessment in TAVI candidates with 50% or lower pre-test likelihood of obstructive CAD (Class I, LOE B). This is supported by the DISCHARGE trial data. Patients with higher CAD probability may still require invasive angiography.

Reference: ESC/EACTS (2025): Guidelines for the Management of Valvular Heart Disease