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Thursday 9 May 2013

Q & A : Aortic valve stenosis

Q : What are the characteristics of the murmur of aortic valve stenosis that are associated with increased severity?

A :  1-A murmur peaking in early or mid systole
       2-A loud murmur
      
Remember : The murmur may be faint in patients with hyper-inflated chest or obesity, or in congestive heart failure, despite the presence of severe stenosis.
Remember also : The murmur radiation to the neck doesn't reflect severity.
      

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