Left Ventricular Ejection Fraction in Medicine / Internal Medicine — 67yo Man | Cardiology | SMLE Q#1087
SMLE Question #1087
Medicine / Internal Medicine
Cardiology
Last updated: February 2026
A 67-year-old man has 1 month of progressive dyspnea on exertion, orthopnea, and paroxysmal nocturnal dyspnea. Cardiac auscultation reveals a high-pitched early diastolic decrescendo murmur best heard at the left sternal border. Transthoracic echocardiography shows severe aortic regurgitation with a left ventricular ejection fraction of 40%. He is hemodynamically stable and not in acute pulmonary edema. What is the best definitive management?
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