An 80-year-old man with known moderate aortic stenosis presents with worsening exertional dyspnea and presyncope. On examination there is a systolic e...

Question

An 80-year-old man with known moderate aortic stenosis presents with worsening exertional dyspnea and presyncope. On examination there is a systolic ejection murmur best heard in the right second intercostal space. Echocardiogram shows a valve area of 0.9 cm². Which of the following is the most appropriate next step?

Accepted Answer

Arrange for urgent surgical valve replacement

Answer

Perform a stress test

Answer

Commence diuretics to reduce preload

Answer

Start a beta-blocker

Answer

Advise follow-up echocardiography in 6 months

NICE Valvular Heart Disease guideline MCQ (SBA): Aortic Stenosis