Aortic stenosis Quiz: Ace Your Exams
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A 67-year-old woman is referred to the cardiology clinic after moderate aortic stenosis is diagnosed by transthoracic echocardiogram. She can walk up one flight of stairs before needing to stop to catch her breath. She reports no chest discomfort and has never lost consciousness. Past medical history is significant for type 2 diabetes mellitus and hypertension. Current medication includes empagliflozin, lisinopril, and metformin. Temperature is 37.3 ºC (99.1 ºF), pulse is 72/min, respiratory rate is 14/min, blood pressure is 127/83 mmHg, and oxygen saturation is 99% on room air. On physical examination, the patient is well-appearing without jugular venous distention. There is no peripheral edema bilaterally. Lungs are clear to auscultation bilaterally. Which of the following is likely to be heard on cardiac auscultation?
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