Condition Info - BotMed Application

ConditionName

Aortic stenosis

ConditionDescription

Symptoms

Chest pain worse with exertion, better with rest;
substernal and anginal in quality; 
fatigue; 
palpitation;  
dizziness; 
syncope;

PhysicalFindings

Systolic murmur on base;
Radial pulse diminished; loud, harsh systolic crescendo-decrescendo mid-systole murmur at base, Radiated to carotids, heard best at second right ICS with patient leaned forward; 
Thrill; S4 gallop;
Valsalva and standing ↓intensity of the murmur – less venus return - less murmur
Handgrip – softens murmur b/c decrease afterload

ClinicalTests

Echocardiogram ECG; 
Chest xRay – left ventricular hypertrophy;
No stress test!

RiskFactors

Aging calcification

IsRedFlag

IsNPLEX

Consequence

Angina (most common);
CHF (poor prognosis), 2 years survival rate;

ProgressionFromCondition

Aging calcification;

TreatmentOptions

Replacement by surgery

PharmOptions

WebLink

https://www.merckmanuals.com/professional/cardiovascular-disorders/valvular-disorders/aortic-stenosis?query=Aortic stenosis