Time For AVR?

Well, the crap seems to have hit the fan finally. Ten years after being diagnosed with BAV and AS, on Tuesday I had a fairly severe episode of chest pressure and malaise. Went to the ER and I was admitted after bloodwork showed troponin levels. Today I'm waiting for my cath. My echo still shows a mean gradient in the 30s but troponin would signal damage. So if I have s problem caused by cad, that's one thing, but I don't personally think it's that. If OTOH it's valve-related, then it's time for surgery. I'll know more soon. Anyway, season's greetings to everyone from this long time waiting roomer. Jim Kelly-Evans