Description
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Calcification of valve cusps restricts forward flow; forceful ejection from
ventricle into systemic circulation. Caused by congenital bicuspid valves, and rheumatic
heart disease. |
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Type and Detection |
Heard over aortic area; ejection sound at second right intercostal border. |
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Findings on Examination
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Midsystolic murmur, medium pitch, coarse, diamond-shaped, crescendo-decrescendo;
radiates down left sternal border (sometimes to apex) and to carotid with palpable thrill. |
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Heart Sound
Components
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S1 normal often followed by ejection click; S2 soft or absent
and may not to be split; S4 palpable.
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