Thyroid & Adrenal
Characteristics of a patient with aortic stenosis include all of the following except:
|C||Prolonged asymptomatic latent period|
|D||Widened pulse pressure|
a. Widened pulse pressure is characteristic of aortic insufficiency rather than aortic stenosis.
b. The symptoms of the AS patiens include long asymptomatic period , sometimes for 10-20 years.
c. Slight dyspnea on exertion may be the only complaint by patient.
d. Three characteristic symptoms are : Angina pectoris, dyspnoea and syncope.
e. Syncope develops in one –third of the patiens.
f. Syncope develops due to decresed cerebral blood flow.
g. Angina pectoris develops in 30-40% of the cases.
h. It’s a manifestation of the myocardial ischemia.
i. The average life expectancy, once angina or syncope develops is 3 years.
j. LVF is even more ominous feature.
k. Life expectancy of such patient is not more than one year.
l. The cardiacsize is not increased.
m. The left ventricular concentric hypertrophy occurs.
n. The apical impulse in such case is described commonly as “ prolonged heave”
o. The peripheral pulse is is slow and prolonged.
p. It reveals dome shaped peak in systole on pulse tracing in contrst with the sharp systolic upstroke in aortic insufficiency.