Abstract
A case of severe calcific valvular aortic stenosis with reduced left ventricular ejection fraction is presented. Patient did not agree for surgery. He was advised trimetazidine (60 mg twice a day) in addition to Torsemide, Digoxin, Aspirin and Clopidogrel. After one month, patient showed significant improvement in symptoms, normalization of U waves in electrocardiogram and significant improvement in ejection fraction. Metabolic effects of trimetazidine could be responsible for improvement in left ventricular function in spite of no change in aortic stenosis. Keywords: Aortic valve stenosis; Electrocardiography; Left ventricular systolic function; Trimetazidine; U wave
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