Skip Navigation

This Article
Right arrow Full Text Freely available
Right arrow FREE Full Text (PDF) Freely available
Right arrow Alert me when this article is cited
Right arrow Alert me if a correction is posted
Services
Right arrow Email this article to a friend
Right arrow Similar articles in this journal
Right arrow Similar articles in ISI Web of Science
Right arrow Similar articles in PubMed
Right arrow Alert me to new issues of the journal
Right arrow Add to My Personal Archive
Right arrow Download to citation manager
Right arrow Search for citing articles in:
ISI Web of Science (7)
Right arrowRequest Permissions
Right arrow Disclaimer
Google Scholar
Right arrow Articles by Das, P.
Right arrow Articles by Chambers, J.
Right arrow Search for Related Content
PubMed
Right arrow PubMed Citation
Right arrow Articles by Das, P.
Right arrow Articles by Chambers, J.
Social Bookmarking
Add to CiteULike   Add to Connotea   Add to Del.icio.us  
What's this?

Q J Med 2000; 93: 685-688
© 2000 Association of Physicians

Commentary papers

The patient with a systolic murmur: severe aortic stenosis may be missed during cardiovascular examination

P. Das, C. Pocock and J. Chambers

From the Department of Cardiology, Guy's and St. Thomas' Hospitals, London, UK

Summary

Significant aortic stenosis is prevalent amongst elderly people. It may be subclinical, manifesting only as a murmur, but can still cause unexpected death with little warning after symptoms develop. Recent studies have highlighted the unreliability of the classical clinical signs of severe aortic stenosis, leading to concern that some patients may not be referred appropriately for echocardiography. Here, we review the evidence for the accuracy of each sign. We suggest that the assessment of the patient with a systolic murmur should be reappraised, and offer guidelines toward improving the recognition of aortic stenosis in the community.

Notes

Address correspondence to Dr P. Das, Department of Cardiology, 6th Floor, East Wing, St. Thomas’ Hospital, Lambeth Palace Road, London SE1 7EH. e-mail: pauldas{at}compuserve.com


Add to CiteULike CiteULike   Add to Connotea Connotea   Add to Del.icio.us Del.icio.us    What's this?


This article has been cited by other articles:


Home page
 HeartHome page
S. H Little, K.-L. Chan, and I. G Burwash
Impact of blood pressure on the Doppler echocardiographic assessment of severity of aortic stenosis
Heart, July 1, 2007; 93(7): 848 - 855.
[Abstract] [Full Text] [PDF]

Home page
 HeartHome page
J Bermejo
The effects of hypertension on aortic valve stenosis
Heart, March 1, 2005; 91(3): 280 - 282.
[Abstract] [Full Text] [PDF]

Home page
 QJMHome page
O.M.P. Jolobe
Systolic murmur and aortic stenosis
QJM, January 1, 2001; 94(1): 49 - 49.
[Full Text] [PDF]


Disclaimer:
Please note that abstracts for content published before 1996 were created through digital scanning and may therefore not exactly replicate the text of the original print issues. All efforts have been made to ensure accuracy, but the Publisher will not be held responsible for any remaining inaccuracies. If you require any further clarification, please contact our Customer Services Department.