Q175) A 28 Year old man is evaluated in your office during a pre-employment health check-up . His history is notable for severe hypertension for which he was started on beta blocker a year ago. He says he stopped the medication 6 months ago because it interfered with his sexual activity. On examination his blood pressure is 172/94. Cardiovascular examination revealed a systolic murmur that radiates to the back and associated with ejection click. Brachio-femoral delay in pulses is noted. The patient is agreeable to restart antihypertensive therapy. The most appropriate management option for this patient:
A) Cardiac catheterization with Stenting
B) Percutaneous coronary intervention
C) Surgery
D) Medical management of Hypertension
E) Aortic valvulotomy
coarctation of avorta
c
C) Surgery
D. we need to reduce the BP and the evaluate further.
Medical management seems to b e the answer. If he has a severe aortic stenosis then eventually he will need replacement