Aortic Stenosis

AORTIC STENOSIS

Risk Factors:

• Rheumatic heart disease
  
• Congenital aortic stenosis
  
• Bicuspid valve
  

Signs and Symptoms:

• Classic triad of exertional dyspnea, angina, and syncope
  
• Can develops to CHF or even death
  
• Murmur: midsystolic crescendo-decrescendo heard best at the second intercostal space radiating to the neck
  
• Pulsus parvus et tardus: weak, delayed caroid upstroke
  
• Sustained apical beat
  
• Paradoxically split S2
  

Treatments:

• Avoid afterload reducers
  
• Valve replacement