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Rethinking Asymptomatic Aortic Stenosis: Early Knife, Better Survival 🫀

Rethinking Asymptomatic Aortic Stenosis: Early Knife, Better Survival 🫀

Dr RR Baliga's "Got Knowledge Doc" Podkast

March 28, 20264m 21s

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Show Notes

A quiet valve, a loud message. 🫀

The 10-year follow-up of the RECOVERY trial in The New England Journal of Medicine shows that early surgery in asymptomatic very severe aortic stenosis is not premature—it is protective.

A striking reduction in cardiovascular mortality (HR 0.10, P=0.002) and sustained divergence of Kaplan–Meier curves challenge the long-held "watchful waiting" paradigm.

Perhaps we are not treating symptoms—but preventing myocardial destiny.

#Cardiology #AorticStenosis #NEJM #PrecisionMedicine