Aortic stenosis is a progressive lesion but asymptomatic till late, often presenting after 50 years of age. Symptoms indicate severe disease (signs of severity in italics). Pulse small volume slow upstroke decreased systolic / pulse pressure (not in elderly with stiff plateau pulse Palpation hyperdynamic apex beat systolic thrill – sitting forward, full expiration Auscultation … Continue reading Aortic Stenosis (AS)