The Correct Answer is C!

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A 55-year-old man presents with one year of DOE. On exam, he has 3+ tardus and parvus of his carotid, a single S2, and a late-peaking SEM at the base. Echocardiography shows LVH with EF 66%, calcified aortic valve with mean gradient 22 mmHg, and AVA of 1.5cm².

What is the next step in management?

  1. Continue observation and recheck in 6 months
  2. Exercise Doppler echocardiogram
  3. Hemodynamic catheterization with coronaries
  4. Dobutamine stimulation

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