Question

A 62-year-old with severe AS has syncope. Echo shows Vmax 4.2 m/s, mean gradient 45 mmHg, AVA 0.7 cm². What additional testing is necessary before proceeding to valve replacement?

Accepted Answer

Coronary evaluation as per heart team to guide approach

Answer

No further testing needed

Answer

Balloon valvuloplasty must be done first

Answer

Stress testing to confirm symptoms

Answer

BNP only

Practice question

A 62-year-old with severe AS has syncope. Echo shows Vmax 4.2 m/s, mean gradient 45 mmHg, AVA 0.7 cm². What additional testing is necessary before proceeding to valve replacement?