There’s a moment every ICU/ED clinician recognises.

The blood pressure is falling. Lactate is climbing. The ventilator is being dialled up. Everyone is working — yet the patient is still sliding.

And then someone says the most dangerous sentence in critical care:

“We think it’s septic shock.”

Ma...

“Two patients. Both have severe aortic stenosis. Both feel fine. One is told to wait. The other is offered early intervention. Which one wins? And more importantly — how do we decide?”

That’s the paradox at the heart of asymptomatic severe aortic stenosis — a condition that continues to challen...