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Clinical PracticeFree Preview

Aortic Stenosis

List of authors.
  • Blase A. Carabello, M.D.

A 60-year-old man is evaluated for a heart murmur. He jogs regularly and has no cardiac symptoms. Examination reveals a delayed carotid upstroke and a grade 3/6 late-peaking systolic ejection murmur. Echocardiography shows normal systolic function and a heavily calcified aortic valve, with a peak Doppler transvalvular gradient of 64 mm Hg and a calculated valve area of 0.7 cm2.

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Author Affiliations

From the Department of Medicine, Baylor College of Medicine, and the Veterans Affairs Medical Center, Houston.

Address reprint requests to Dr. Carabello at the Veterans Affairs Medical Center Medical Service (111), 2002 Holcombe Blvd., Houston, TX 77030, or at .

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