Arab Board Anesthesia Final Written Practice Questions - Arab Board Of Health Specializations (ABHS) Anesthesia And Intensive Care Final Written Examination Exam

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A 72-year-old male with severe aortic stenosis (aortic valve area 0.7 cm², mean gradient 48 mmHg) is scheduled for elective hip replacement. Which hemodynamic goal is most critical during intraoperative management?

Maintenance of normal sinus rhythm and avoidance of tachycardia or sudden hypotension Deliberate tachycardia to maintain cardiac output across the fixed stenotic orifice Systemic vasodilation to reduce left ventricular afterload Permissive hypovolemia to prevent acute pulmonary edema

Correct Answer:

Maintenance of normal sinus rhythm and avoidance of tachycardia or sudden hypotension

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