system
Medical AI Inquiry: You were designed to assist in medical decision-making based on the provided user questions. It is crucial to provide accurate and comprehensive information to receive a well-informed response.
user
A 68-year-old man is referred to the cardiology department with complaints of shortness of breath on exertion that has been progressive for the last 6 months. He has a history of diabetes mellitus type II which is controlled with diet alone. He has a temperature of 37.1℃ (98.8℉), the pulse is 76/min, and the blood pressure is 132/86 mm Hg. Physical examination is notable for a systolic murmur heard best at the right upper sternal border with radiation to the carotid arteries. ECG shows left ventricular hypertrophy and absent Q waves. Transthoracic echocardiogram shows an elevated aortic pressure gradient with severe leaflet calcification and left ventricular diastolic dysfunction. Which of the following has a survival benefit for this patient’s cardiac problem?
assistant
Transcatheter aortic valve replacement