A 65-year-old man found to have an ejection systolic murmur on clinical examination. There is no history of chest pain, shortness of breath nor syncope. ECHO confirmed aortic steno... A 65-year-old man found to have an ejection systolic murmur on clinical examination. There is no history of chest pain, shortness of breath nor syncope. ECHO confirmed aortic stenosis with good left ventricular systolic function. Aortic valve gradient of 40 mmH. Which of the following is the most appropriate management option? A. Follow-up B. Anti-coagulation C. Aortic valvuloplasty D. Surgical valve replacement
Understand the Problem
The question describes a clinical scenario involving a 65-year-old man with aortic stenosis and asks which management option is most appropriate. This necessitates knowledge of medical guidelines for treating aortic stenosis, particularly in asymptomatic patients with certain clinical findings.
Answer
Follow-up.
The final answer is A. Follow-up.
Answer for screen readers
The final answer is A. Follow-up.
More Information
In asymptomatic patients with mild to moderate aortic stenosis and good left ventricular function, regular monitoring via follow-up visits is recommended until symptoms develop or the condition progresses.
Tips
A common mistake is to opt for surgical intervention prematurely, without assessing the severity and symptom status of the stenosis.
Sources
- Aortic stenosis - Symptoms and causes - Mayo Clinic - mayoclinic.org
- 2020 ACC/AHA Guideline for the Management of Patients With Valvular Heart Disease - ahajournals.org
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