aortic stenosis

Question 1

features of aortic stenosis

Answer 1

chest pain
SOB
syncope/presyncope
murmur (ejection systolic)- radiates to carotids

Question 2

features of severe aortic stenosis

Answer 2

narrow pulse pressure
slow rising pulse
delayed ESM
soft/absent S2
S4
thrill
duration of murmur
left ventricular hypertrophy

Question 3

causes of aortic stenosis

Answer 3

degenerative calcification (most common > 65)
bicuspid aortic valve (most common < 65)
williams syndrome
post-rheumatic fever
HOCM

Question 4

management of aortic stenosis

Answer 4

asymptomatic: observe
symptomatic: valve replacement
- transcatheter if high risk
- balloon valvuloplasty in children and critical AS