Critical Aortic Stenosis

This noncyanotic lesion can be life threatening and may present at any age. Older children may have a history of exercise intolerance with easy fatigability and chest pain. Prominent physical findings are a systolic ejection click and a diamond-shaped murmur that radiates to the neck and is associated with a suprasternal thrill. Left ventricular hypertrophy with strain can be present on ECG, and the chest x-ray may show poststenotic dilatation of the aorta, although neither of these signs is present consistently.

Syncope without cyanosis caused by critical aortic stenosis can portend a sudden life-threatening dysrhythmia. Patients should be kept strictly at rest and should be sedated, if necessary. Immediate referral for further diagnosis and possible urgent surgical repair is indicated.

51 Tips for Dealing with Endometriosis

51 Tips for Dealing with Endometriosis

Do you have Endometriosis? Do you think you do, but aren’t sure? Are you having a hard time learning to cope? 51 Tips for Dealing with Endometriosis can help.

Get My Free Ebook

Post a comment