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Severe aortic stenosis — RACP Written MCQ

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EasyCardiologySevere aortic stenosisRACP Written

A 76-year-old woman has progressive exertional dyspnoea and two episodes of exertional syncope. Examination shows a slow-rising pulse and an ejection systolic murmur radiating to the carotids. Transthoracic echocardiography shows valve area 0.7 cm2 and mean gradient 48 mmHg. What is the most appropriate management?

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Correct answer: E — Referral for aortic valve intervention

Symptomatic severe aortic stenosis carries a poor prognosis without valve intervention. Suitability for surgical or transcatheter replacement should be assessed urgently.

Reference: National Heart Foundation of Australia; Therapeutic Guidelines: Cardiovascular