Bicuspid aortic stenosis physical examination: Difference between revisions
Jump to navigation
Jump to search
Varun Kumar (talk | contribs) No edit summary |
Varun Kumar (talk | contribs) |
||
| Line 3: | Line 3: | ||
==Physical Examination== | ==Physical Examination== | ||
*There is a systolic murmur from birth (occurs later in life in acquired AS) | ===Cardiac Examination=== | ||
*There is a [[systolic murmur]] from birth (occurs later in life in acquired AS). It is heard best in aortic area (2nd intercostal space along right sternal border) | |||
*Paradoxical splitting of 2nd heart sound occurs in severe aortic stenosis | |||
*Unlike acquired [[aortic stenosis]](AS), the contour of the carotid pulse is not a good predictor of severity in congenital AS because it is so variable. | *Unlike acquired [[aortic stenosis]](AS), the contour of the carotid pulse is not a good predictor of severity in congenital AS because it is so variable. | ||
*Because the valve is not calcified early on in the case of a fused valve, | *Because the valve is not calcified early on in the case of a fused valve, an ejection click may be present unlike acquired AS. | ||
*Patients often have an [[Heart sounds#Fourth heart sound S4|S<sub>4</sub>]]. | *Patients often have an [[Heart sounds#Fourth heart sound S4|S<sub>4</sub>]]. | ||
*In presence of [[aortic insufficieny]], a [[diastolic murmur]] may be heard. Various maneuvers such as isometric handgrip, having patients lean forward in a seated position helps in hearing the murmur better. | |||
===Other Physical Features Related to Associated Syndromes=== | |||
*[[Turner's syndrome]] | |||
**Short stature female | |||
**[[Webbed neck]] | |||
**Low hairline | |||
**Broad chest with wide spaced nipples | |||
*[[William's syndrome]] | |||
**Elfin facies | |||
**Mild [[retardation]] | |||
**[[Autism]] | |||
==References== | ==References== | ||
Revision as of 14:17, 12 April 2012
|
Bicuspid aortic stenosis Microchapters |
|
Diagnosis |
|---|
|
Treatment |
|
Bicuspid aortic stenosis physical examination On the Web |
|
American Roentgen Ray Society Images of Bicuspid aortic stenosis physical examination |
|
Risk calculators and risk factors for Bicuspid aortic stenosis physical examination |
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]
Physical Examination
Cardiac Examination
- There is a systolic murmur from birth (occurs later in life in acquired AS). It is heard best in aortic area (2nd intercostal space along right sternal border)
- Paradoxical splitting of 2nd heart sound occurs in severe aortic stenosis
- Unlike acquired aortic stenosis(AS), the contour of the carotid pulse is not a good predictor of severity in congenital AS because it is so variable.
- Because the valve is not calcified early on in the case of a fused valve, an ejection click may be present unlike acquired AS.
- Patients often have an S4.
- In presence of aortic insufficieny, a diastolic murmur may be heard. Various maneuvers such as isometric handgrip, having patients lean forward in a seated position helps in hearing the murmur better.
Other Physical Features Related to Associated Syndromes
- Turner's syndrome
- Short stature female
- Webbed neck
- Low hairline
- Broad chest with wide spaced nipples
- William's syndrome
- Elfin facies
- Mild retardation
- Autism