Question

A 58-year-old man presents with progressive exertional dyspnoea and orthopnoea. Echocardiogram shows severe aortic stenosis with peak gradient 70 mmHg and valve area 0.7 cm2. He is otherwise fit. According to cardiology guidelines, what is the most appropriate management?

Accepted Answer

Aortic valve replacement or transcatheter intervention depending on surgical risk

Answer

Conservative management with annual review only

Answer

Balloon valvuloplasty as definitive therapy

Answer

Beta-blocker therapy alone

Answer

Anticoagulation with warfarin alone

Practice question

A 58-year-old man presents with progressive exertional dyspnoea and orthopnoea. Echocardiogram shows severe aortic stenosis with peak gradient 70 mmHg and valve area 0.7 cm2. He is otherwise fit. According to cardiology guidelines, what is the most appropriate management?