Melabout 2 months ago

A 75-year-old woman with a history of angina pectoris is admitted to the hospital. The patient's examination reveals a systolic murmur that can be heard at home and sounds like the carotid arteries. Electrocardiogram (ECG) shows left ventricular hypertrophy with evidence of left atrial enlargement. Echodetects aortic valve surface area of 0.7 cm2. What is the most appropriate next step in its management? a. Medical management with a nitrate and an angiotensin-converting enzyme inhibitor b. Endarterectomies of the carotid arteries, on both sides c. Percutaneous coronary artery angioplasty and stenting d. Coronary artery bypass surgery e. Replacing the aortal valve

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