An 81-year-old woman with CFS 6 and severe aortic stenosis presents with exertional syncope. Echo: peak gradient 72 mmHg, valve area 0.7 cm2, LVEF 55%...

Question

An 81-year-old woman with CFS 6 and severe aortic stenosis presents with exertional syncope. Echo: peak gradient 72 mmHg, valve area 0.7 cm2, LVEF 55%. What is the MOST appropriate management?

Accepted Answer

Refer urgently for cardiology and cardiac surgery assessment for AVR (surgical or transcatheter)

Answer

Medical management only

Answer

Start a beta-blocker

Answer

Prescribe GTN spray

Answer

Review in 6 months

uk-dgm MCQ (SBA): Symptomatic Severe AS - Referral for AVR

An 81-year-old woman with CFS 6 and severe aortic stenosis presents with exertional syncope. Echo: peak gradient 72 mmHg, valve area 0.7 cm2, LVEF 55%. What is the MOST appropriate management?