Bicuspid aortic stenosis physical examination
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Bicuspid aortic stenosis Microchapters |
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Bicuspid aortic stenosis physical examination On the Web |
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American Roentgen Ray Society Images of Bicuspid aortic stenosis physical examination |
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Risk calculators and risk factors for Bicuspid aortic stenosis physical examination |
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-In-Chief: Varun Kumar, M.B.B.S. [2]
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