what are the Recommendations for Pre-Pregnancy Intervention in Women With
VHD?
In asymptomatic women with severe AS (aortic velocity ?4.0 m/s or mean pressure gradient ?40 mm Hg, Stage C1) who are considering pregnancy, do not meet COR 1 criteria for intervention, and have a preconception evaluation confirming the absence of symptoms (including normal exercise stress testing and serum BNP measurements), medical management during pregnancy may be considered to avoid prosthetic valve replacement.