Wednesday, May 17, 2023

murmur: severe aortic stenosis

Q: Aortic stenosis murmur is best heard at upper ____________ sternal border? (select one)

A) Left
B) Right


Answer: Right

The five characteristics of Aortic stenosis(AS) murmur are:
  • heard loudest at the upper right sternal border (at the 2nd right intercostal space).
  • radiates to the carotid arteries bilaterally.
  • increases with squatting
  • decreases with standing
  • louder during expiration

#cardiology
#physical-examination


References:

Das P, Pocock C, Chambers J. The patient with a systolic murmur: severe aortic stenosis may be missed during cardiovascular examination. QJM. 2000 Oct;93(10):685-8. doi: 10.1093/qjmed/93.10.685. PMID: 11029480.

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