Presentation. 82yo F with Shortness of breath
Examination. Comfortable at rest
Ejection systolic murmur
JVP not raised
No pedal oedema
Progress & Plan.
What is the likely diagnosis?
Aortic stenosis - mild-moderate
Annual TTE to monitor
What is your approach to Aortic stenossi?
- Differential diagnoses
How do you assess severity of AS?
Thrill, Soft S2, delayed peaking, harshness, plateud radial pulse
Signs of Heart failure like crackles, S4
Echo criteria for severity?
AV daimeter <1cm
Mean gradient > 40mmHg
Flow > 4m/s
Key points. N/A
About the case. N/A