A 65-year-old man presents to the clinic with progressive exertional shortness of breath that is associated with syncope. His examinations show a mid-systolic murmur at right upper... A 65-year-old man presents to the clinic with progressive exertional shortness of breath that is associated with syncope. His examinations show a mid-systolic murmur at right upper sternal border that radiates to carotids. Chest x-ray shows cardiomegaly. ECG reveals left ventricular hypertrophy. Which of the following is the most appropriate management?
Understand the Problem
The question presents a clinical scenario involving a 65-year-old man with symptoms related to progressive shortness of breath and syncope. It describes specific examination findings, including a heart murmur, and asks for the most appropriate management from several options.
Answer
Surgical valvular replacement
The final answer is B, Surgical valvular replacement
Answer for screen readers
The final answer is B, Surgical valvular replacement
More Information
Severe aortic stenosis often presents with a triad of symptoms: exertional dyspnea, syncope, and angina. Surgical intervention is necessary when these symptoms present.
Tips
Common mistakes include treating with medications only, which do not address the mechanical obstruction in aortic stenosis.
Sources
- 51-Year-Old Man With Heart Murmur - PMC - pmc.ncbi.nlm.nih.gov
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