Clinical Data of Aortic Stenosis
S: Fatigue, DOE, palpitation, dizziness, fainting, anginal pain.
O: Pallor, slow diminished radial pulse, low blood pressure, and auscultatory gap are common. Apical impulse sustained and displaced to left. Thrill in systole over second and third right interspaces and right side of neck. S1 normal, often ejection click present, often paradoxical split S2, S4 present with LV hypertrophy. Murmur: Loud, harsh, midsystolic, crescendodecrescendo, loudest at second right interspace, radiates widely to side of neck, down left sternal border, or apex.