Conservative: Lifestyle modifications, regular monitoring, endocarditis prophylaxis if needed.
Medical: Limited role, but can use diuretics for symptoms of heart failure. Antihypertensives cautiously.
Surgical: Aortic valve replacement (mechanical or bioprosthetic) is the definitive treatment. Indicated in symptomatic patients or those with LV dysfunction. Balloon valvuloplasty may be considered in selected cases.
Left ventricular failure.
Sudden cardiac death.
AS is the most common valvular heart disease in the developed world.
The classic triad of symptoms often suggests severe stenosis.
Echocardiography is pivotal in the diagnosis and assessment of AS.