A 68-year-old with severe aortic stenosis has no symptoms on history, but LVEF has fallen to 45% without another explanation. Which management is

Question

A 68-year-old with severe aortic stenosis has no symptoms on history, but LVEF has fallen to 45% without another explanation. Which management is most appropriate?

Accepted Answer

Refer for aortic-valve intervention despite the absence of reported symptoms

Answer

Observe until exertional syncope develops because symptoms are required

Answer

Use beta-blocker therapy to reverse the reduced ejection fraction before valve assessment

Answer

Perform balloon valvuloplasty as definitive therapy without valve-team evaluation

Answer

Schedule annual echocardiography before referral to a valve team

Symptomatic severe aortic stenosis — ABIM Board MCQ

A 68-year-old with severe aortic stenosis has no symptoms on history, but LVEF has fallen to 45% without another explanation. Which management is most appropriate?