The clinical diagnosis of aortic stenosis remains difficult despite classic signs, as retrospective studies show the classic picture is not always present.
Answers are grounded in this paper and cite their sources.
Clinicians should pursue early echocardiography rather than relying on signs alone; leaves open prospective validation of updated diagnostic criteria.
THE clinical diagnosis of aortic stenosis remains a difficult problem in many cases, despite recent advances in knowledge of this condition. The classic signs are familiar: a loud, rough aortic systolic murmur transmitted to the neck; a coarse aortic and carotid systolic thrill; a diminished or absent aortic second sound; a "pulsus parvus et longus," or an anacrotic pulse; a narrow pulse pressure; electrocardiographic evidence of hypertrophy of the left ventricle; and roentgenographic evidence of enlargement of the left ventricle and calcification of the aortic valve. Retrospective studies of pathologically proved cases, however, have shown that this classic picture is . . .
No takes yet. Share an insight, caveat, or question.
Hancock et al. (1958) studied this question.
Synapse has enriched 10 related papers. Consider them for comparative context: