What is the next step in management for a 70-year-old man with severe aortic stenosis?
Understand the Problem
The question is asking about the management steps for a 70-year-old man diagnosed with aortic stenosis indicated by his echocardiogram findings. We need to determine the most appropriate next step in treatment considering his clinical presentation and examination results.
Answer
Aortic valve replacement (SAVR or TAVR).
The next step in management for a 70-year-old man with severe aortic stenosis is aortic valve replacement, either through surgical aortic valve replacement (SAVR) or transcatheter aortic valve replacement (TAVR).
Answer for screen readers
The next step in management for a 70-year-old man with severe aortic stenosis is aortic valve replacement, either through surgical aortic valve replacement (SAVR) or transcatheter aortic valve replacement (TAVR).
More Information
Aortic stenosis is a condition characterized by narrowing of the aortic valve, which leads to restricted blood flow from the heart to the rest of the body. In older adults, TAVR is often preferred due to its less invasive nature compared to traditional surgery.
Tips
A common mistake is considering medical therapy or conservative management alone, which is not effective for severe aortic stenosis.
Sources
- Managing Aortic Stenosis Symptoms - heart.org
- Aortic valve disease in the older adult - PMC - pmc.ncbi.nlm.nih.gov
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