Aortic stenosis AS

• Facts:
  If younger person, suspect bicuspid aortic valve
  If older patient, think age-related sclerocalcific changes
• History / PE:
  Angina
  CHF symptoms
  Exertional dyspnea
• Diagnosis:
  Harsh systolic ejection murmur (aortic area, radiates to carotids)
  Slow pulse upstroke
  S3, S4
  Ejection click
  
• Associated With:
  LVH
  Cardiomegaly
  Bleeding from GI angiodysplasia