Key result
Silent severe AS with concentric LVH triggers sudden death in an asymptomatic 48-year-old male.
Why the study?
Sudden death in previously asymptomatic individuals with aortic stenosis is rare, particularly in middle-aged adults.
Population
A 48-year-old male carpenter who collapsed during routine work
Design
Case report
Authors
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Rare sudden death in middle-aged asymptomatic severe AS warrants heightened clinical vigilance; this Level 5 case leaves risk stratification unresolved.
Case Report (n=1)
Severe aortic stenosis can remain clinically silent and present as sudden cardiac death during exertion in middle-aged adults.
Wijenayaka et al. (2026) conducted a case report in Asymptomatic severe aortic stenosis (n=1). Asymptomatic severe aortic stenosis in a 48-year-old male resulted in sudden death due to probable fatal arrhythmia, with autopsy revealing a 682 g heart and a 1 cm severely calcified aortic orifice.
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