Physical examination in valvular aortic stenosis: Correlation with stenosis severity and prediction of clinical outcome

Background And Methods The goal of this study was to examine the ability of physical examination to predict valvular aortic stenosis severity and clinical outcome in 123 initially asymptomatic subjects (mean age 63 ± 16 years, 70% men) followed up for a mean of 2.5 ± 1.4 years. Results Doppler aorti...

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Bibliographic Details
Published in:The American heart journal 1999-02, Vol.137 (2), p.298-306
Main Authors: Munt, Brad, Legget, Malcolm E., Kraft, Carol D., Miyake-Hull, Carolyn Y., Fujioka, Michelle, Otto, Catherine M.
Format: Article
Language:English
Subjects:
Aortic Valve Stenosis - diagnosis
Aortic Valve Stenosis - epidemiology
Aortic Valve Stenosis - surgery
Biological and medical sciences
Cardiology. Vascular system
Echocardiography, Doppler
Endocardial and cardiac valvular diseases
Female
Follow-Up Studies
Heart
Heart Valve Prosthesis Implantation
Humans
Male
Medical sciences
Middle Aged
Physical Examination
Predictive Value of Tests
Proportional Hazards Models
Prospective Studies
Sensitivity and Specificity
Time Factors
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Summary:Background And Methods The goal of this study was to examine the ability of physical examination to predict valvular aortic stenosis severity and clinical outcome in 123 initially asymptomatic subjects (mean age 63 ± 16 years, 70% men) followed up for a mean of 2.5 ± 1.4 years. Results Doppler aortic jet velocity correlated with systolic murmur intensity (P =.003) and timing (P =.0002), a single second heart sound (P =.01), and carotid upstroke delay (P
ISSN:0002-8703
1097-6744
DOI:10.1053/hj.1999.v137.95496