A 50-year-old with new severe aortic stenosis (peak velocity 4.2 m/s, mean gradient 45 mmHg) is asymptomatic and has normal LV function. Which is the ...

Question

A 50-year-old with new severe aortic stenosis (peak velocity 4.2 m/s, mean gradient 45 mmHg) is asymptomatic and has normal LV function. Which is the recommended next step?

Accepted Answer

Exercise testing to unmask symptoms if uncertain; otherwise surveillance if truly asymptomatic

Answer

Immediate surgical AVR for all severe AS

Answer

Start ACE inhibitor to delay progression

Answer

Percutaneous balloon valvotomy

Answer

Start chronic warfarin

us-abim MCQ (SBA): Severe aortic stenosis-initial management

A 50-year-old with new severe aortic stenosis (peak velocity 4.2 m/s, mean gradient 45 mmHg) is asymptomatic and has normal LV function. Which is the recommended next step?